1.What is your full name?

2.What is your email address?

3.What is your company name?

4.What is your position?

5.If you are a supplier partner, are you global representative or representing a single/multi property? Please list which hotel(s). Advisors please list N/A.

6.If you are an advisor partner, please list if you are an IC, inside house travel advisor, or of a leadership position (please add title)? If you are an IC, please list your affiliate company name and host agency. Suppliers, please N/A.

7.Why do you want to participate in Travel Pivots and what would your ideal takeaway be from this forum and think tank?

8.Please list two references with e-mails (for supplier partners, list advisor references, and for advisor partners, list supplier references) for the vetting process. Once confirmed, registration and reservation booking process will be shared.

9.For suppliers, are you interested in joining the evening prior (Tuesday, July 22) for a local Arizona Travel Advisor reception? Details and additional pricing TBC.

Yes

No

N/A

10.Anything else you would like us to know about you? Thank you for completing this form expressing your interest in participating in Travel Pivots Series Four!