Governors Office of Highway Safety

 

 
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PRESENTERS CONFERENCE REGISTRATION

Please send PowerPoint presentations to Patricia Arteaga at parteaga@azgohs.gov  no later than July 7th.   If presentation can not be emailed please mail hardcopy to:

Governor’s Office of Highway Safety
3030 North Central Avenue, Suite 1550
Phoenix, AZ 85012

GOHS will not provide lodging to presenters that live/work within 50 miles of the City of Flagstaff. 

GOHS will pay lodging expenses and will make all hotel reservations for those presenters that qualify for lodging.  Presenters are responsible for all other expenses. GOHS will waive registration fee. GOHS will reimburse milage for personal vehicle use only.

Hotel Information

Please note, the conference summit will take place at the Northern Arizona University Conference Center in the City of Flagstaff.   GOHS will be using up to three hotels in close proximity to the Conference Center, therefore, hotel assignments will be made based on first registered and first paid.

Any confirmed presenter that is a "no show" will be billed for the unused hotel room.

Your Name
 (Name provided will appear on badge and certificate)
Title
Agency Roomate 
Agency
Name of Roommate
Phone Number
I be attending the Luncheon on Monday July 21st
I be attending the Luncheon on Tuesday, July 22nd
I be attending the Awards luncheon on Wednesday July 23rd  
I be attending the luncheon on Thursday July 24th
Special food requirement
I am presenting during the conference for
Presenters Biography (1250 characters allowed)
Character Count
Mailing Address
City
State
Zip
Email Address
 
Require Hotel Accommodations?
If you need a Hotel, check which night(s)

Sunday
Monday
Tuesday
Wednesday
Thursday

Each participant receives a long sleeve T-shirt, please indicate what size you would like.

 

 

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Phoenix Location:
3030 N. Central Ave # 1550
Phoenix, Arizona 85012

Tucson Location:
310 S. Williams Blvd # 315
Tucson, Arizona 85012