2007-2008 Satellite Meeting Submission Form

 

This Form contains six sections. You may wish to use this Preparation Form Adobe PDF File to gather the required information before to completing this online form.

An email copy of your submission will be sent to the Chair's Email Address.

Questions? Contact Ronda Thompson.

CHAIR CONTACT INFORMATION

The * items below are required.

*Chair Name

Affiliation

*Address 1

Address 2

*City

*State/Province

*Postal Code/ Zip

Country

*Telephone

Facsimile

*Email

TOPIC FOCUS/TYPE OF MEETING REQUESTED

(list Title, Field or Topic at right)
(Complete Co-Sponsor Contact Information below)

Co-Sponsor Contact Information

Contact Person's Name

Affiliation

Address 1

Address 2

City

State/Province

Postal Code/ Zip

Country

Telephone

Facsimile

Email

Workshop Presentations

Presentation 1

Topic

Length (minutes)

Speaker Name

Affiliation

Presentation 2

Topic

Length (minutes)

Speaker Name

Affiliation

Presentation 3

Topic

Length (minutes)

Speaker Name

Affiliation

Presentation 4

Topic

Length (minutes)

Speaker Name

Affiliation

Presentation 5

Topic

Length (minutes)

Speaker Name

Affiliation

Presentation 6

Topic

Length (minutes)

Speaker Name

Affiliation

Presentation 7

Topic

Length (minutes)

Speaker Name

Affiliation

Presentation 8

Topic

Length (minutes)

Speaker Name

Affiliation

Presentation 9

Topic

Length (minutes)

Speaker Name

Affiliation

Presentation 10

Topic

Length (minutes)

Speaker Name

Affiliation

Sponsors

Sponsor 1

Sponsor Name

Sponsor Affiliation

Sponsor Telephone

Sponsor Facsimile

Sponsor Email

Sponsor 2

Sponsor Name

Sponsor Affiliation

Sponsor Telephone

Sponsor Facsimile

Sponsor Email

Sponsor 3

Sponsor Name

Sponsor Affiliation

Sponsor Telephone

Sponsor Facsimile

Sponsor Email

Sponsor 4

Sponsor Name

Sponsor Affiliation

Sponsor Telephone

Sponsor Facsimile

Sponsor Email

Sponsor 5

Sponsor Name

Sponsor Affiliation

Sponsor Telephone

Sponsor Facsimile

Sponsor Email

Sponsor 6

Sponsor Name

Sponsor Affiliation

Sponsor Telephone

Sponsor Facsimile

Sponsor Email

Sponsor 7

Sponsor Name

Sponsor Affiliation

Sponsor Telephone

Sponsor Facsimile

Sponsor Email

Sponsor 8

Sponsor Name

Sponsor Affiliation

Sponsor Telephone

Sponsor Facsimile

Sponsor Email

Sponsor 9

Sponsor Name

Sponsor Affiliation

Sponsor Telephone

Sponsor Facsimile

Sponsor Email

Sponsor 10

Sponsor Name

Sponsor Affiliation

Sponsor Telephone

Sponsor Facsimile

Sponsor Email

SATELLITE MEETING DETAILS


Meeting will offer: Yes  
Yes  

Speakers to receive complimentary registration:

Speakers to receive travel subsidy:  If Yes, suggested dollar amount:
      $

Refreshments will be offered at breaks?:

Attendees will receive breakfast?:

Attendees will receive lunch?:

Attendees will receive a notebook with all presentations in them?:

Speakers will receive a CD-Rom with all presentations on it?:

SATELLITE MEETING GOALS

Explain the educational goals for the satellite meeting:

Explain what the attendee will gain by attending this satellite meeting:

Explain how attendees will be able to apply what they learn at the satellite meeting to their field: