Epstein Briefing RSVP October 15, 2019 - Miami, FL I I October 23, 2019 - New York, NY¶
| Please fill out the following form and return to the | emailbox by October 4, 2019. | ||
|---|---|---|---|
| Full Name: | e:e ;;; Email Address: | ||
| Phone Number: Click here to enter phone nuri,oL; | Social Security Number: Click here to enter SSN | ||
| Address 1: Click here to enter address 1 | Address 2: li lL% lure to enter address 2 | ||
| City: Click here to enter city State: Click here to enter state | Zip: Click here to enter zip | ||
| Citizenship: Click here to enter citizenship | Country of Birth: lck here to enter country of birth | ||
| If you have spoken with a FBI Victim Specialist, please provide their name: Click here to enter VS name | |||
| Can you attend? | |||
| — Yes, I will attend | 0 No, I cannot attend | ||
| If yes, which location will you attend? | |||
| 0 10/15/2019 Miami, Fl | 0 10/23/2019 New York, NY | ||
| You are authorized to bring one support person. Will you be bringing a support person with you to the briefing? | |||
| yes, I will bring one support person | J No, I will not bring a support person | ||
| Will you need travel arrangements? | |||
| Yes, I will need travel arrangements | 0 No, I will not need travel arrangements | ||
| If yes, which mode of transportation do you preferi r | |||
| Air Bus | Rail | 0 Mileage reimbursement (if you are utilizing your own vehicle) | |
| charges incurred such as in-flight snacks, Pay-Per-View, Wi-Fi, etc. | Only economy, roundtrip fares and one checked luggage bag per person will be authorized. You will be responsible for any incidental | ||
| Date of Birth (required by airlines): Click here to enter date of birth Preferred time of travel: Click here to enter preferred time of travel | Airport of origin: Click here to enter departure airport name | ||
| Do you require lodging? | |||
| Pay-Per-View, phone charges, etc. | Only two nights of lodging will be authorized and only hotel room cost and tax will be authorized. You will be required to provide a credit card for incidental charges upon check in. You will be responsible for any incidental charges incurred such as snacks, mini bar, | ||
| — Yes, I will require lodging | No, I will not require lodging | ||
| Do you require airport transportation? | |||
| Yes, I will require transportation to/from the airport |
No, I will not require transportation to/from the airport¶
| Support person information | |||
|---|---|---|---|
| Support Person’s Name: | |||
| Relationship: Friend | Email Address: | ||
| Phone Number: Social Security Number: | |||
| Address 1: | Address 2: Click here to enter address 2 | ||
| City: New York State: NY | Zip: 10033 | ||
| Citizenship: US | Country of Birth: USA | ||
| Will your support person need travel arrangements? | |||
| Yes, my support person will need travel arrangements Z No, my support person will not need travel arrangements | |||
| If yes, which mode of transportation do they prefer? | |||
| Air | E Rail | ||
| Bus | E Mileage reimbursement (if they are utilizing their own vehicle) | ||
| Only economy, roundtrip fares and one checked luggage bag per person will be authorized. You will be responsible for any incidental charges incurred such as in-flight snacks, Pay-Per-View, Wi-Fi, etc. | |||
| Date of Birth (required by airlines): Click here to enter date of birth Airport of origin: Preferred time of travel: Click here to enter preferred time of travel Click here to enter departure airport name | |||
| If bringing a support person, will your support person require separate lodging? | |||
| Pay-Per-View, phone charges, etc. | Only two nights of lodging will be authorized and only hotel room cost and tax will be authorized. You will be required to provide a credit card for incidental charges upon check in. You will be responsible for any incidental charges incurred such as snacks, mini bar, | ||
| Z No, my support person will not require separate lodging Yes, my support person will require separate lodging | |||
| If bringing a support person, will your support person require airport transportation? | |||
| Yes, my support person will require transportation to/from the airport | |||
| Z No, my support person will not require transportation to/from the airport | |||
| Acknowledgement and Signature | |||
By checking and signing below, I acknowledge I have read and understand that only lodging, lodging taxes, mileage, and commercial transportation expenses (airfare, bus, train, and hotel transportation only) will be authorized as outlined above. I understand that the following will not be included/provided in the authorized expenses: meals, rental vehicle, entertainment, or other incidental charges.¶
21 Yes, I acknowledge the above statement 10/19/2019¶