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2023 Midwest Impaired Driving Conference 
Presenter Information Page 

Thank you for presenting at our conference. The Midwest Center for Traffic Safety and the Illinois Traffic Safety Resource Prosecutor appreciate your efforts to keep our roads safe. 

Please see below for a registration form as well as information on travel and hotel arrangements. 
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Presenter Registration

Please complete this form so we may add your presentation to our schedule. 

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Thanks for submitting!

Volunteer/Moderator 
Registration
Will you be attending the meet and greet Thursday November 2?

Thanks for registering. See you there!

Travel and Lodging Reimbursement Information

We are excited and thankful that the National Marijuana Initiative has offered to assist in the speaker reimbursements for this conference. 

See below for information on the NMI, a W9 form to be completed and submitted to NMI as well as the NMI Travel form. 

These documents must be completed and submitted to Ed Shemelya, National Coordinator-

jeshemelya@nmi.nhac.org

Click each image below for the forms. 

IRS W9 Form

Must be completed and emailed to 

jeshemelya@nmi.nhac.org

NMI Funded Travel Information Sheet

Information on reimbursement from NMI

NMI Travel Reimbursement Form

Must be completed and emailed to 

jeshemelya@nmi.nhac.org

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