2012 SETAC North America Annual Meeting Room Request Form
http://longbeach.setac.org
 

1. Contact Info

 
If you would like to request space for a meeting or activity during the SETAC North America 33rd Annual Meeting in Long Beach, CA, please complete this form. Please fill out a separate form for each individual meeting. Space is limited and assigned on a first come, first serve, basis. You will be contacted at a later date with your assigned date, time and room number. If you have any questions, please contact Nikki Turman at nikki.turman@setac.org

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1. Contact info:

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2. Title of Activity (This will be how your meeting is listed on signage and in the printed program. Please note that any requests received after Sept.1 will NOT be included in the printed meeting program)

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3. Estimated number of people in meeting room

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4. Requested Room Set (this is not guaranteed)

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5. Please indicate your preferred activity date.

6. If your preferred meeting day is not available, what is your second choice?

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7. What time would you like to hold your activity?

  HH MMAM/PM 
Start Time 
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End Time 
:
 

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8. If your first choice time slot is not available, what is your second time preference?

  HH MMAM/PM 
Start Time 
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End Time 
:
 

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9. Meeting Room Charges (these charges will not apply to official SETAC committees, advisory groups, etc.)

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10. Which best describes your activity?