2009 Traffic Management & Work Zone Safety Conference Travel Reimbursement Form
This form is to be used by U.S. federal, state and local government employees who are applying for travel assistance to attend the 2009 Traffic Management & Work Zone Safety Conference, which will be collocated with World of Asphalt, in Orlando, Florida, March 10-12, 2009.
Each attendee may submit this form for consideration of a travel reimbursement of up to $200. Travel reimbursements are available on a limited basis. If you are selected, you will be contacted within one week with further instructions. All reimbursements will be sent at the completion of the conference.
To apply for travel reimbursement, fax this form and a copy of your conference registration confirmation to ARTBA-TDF’s Omar Lopez at 202-289-4435. Questions? Contact Omar Lopez at 202-289-4434, olopez@artba.org.
This conference is being offered at no cost. More information is available at www.workzonesafety.org. Register online on the World of Asphalt site www.worldofasphalt.com.
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Name (Last, First, M.I.)
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Organization
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Address E-mail address
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City, State, Zip
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Telephone Number Fax Number
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Arrival Date Departure Date
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How did you hear about this conference?
Sponsored by:
the National Work Zone Safety Information Clearinghouse
Organizing Partners:
Information provided by the National Work Zone Safety Information Clearinghouse, award # DTFH61-06-H-00015, does not necessarily reflect the views of the U.S. Federal Highway Administration, (FHWA) or the American Road & Transportation Builders Association-Transportation Development Foundation. References to specific products and services do not imply endorsement by the Clearinghouse or FHWA.
Posted: 11/7/2008
Categories: Conferences | Work Zone Conferences | Work Zone Safety
