Affiliate Group Function Space Request Form - Molecular Targets 2023

If you plan to hold a function during the 2023 Molecular Targets and Cancer Therapeutics Conference, you must complete the survey below.

Question Title

1. Hosting Company Information (Required.)

Company Name

Company Contact Name

Company Contact Phone

Event Name/Title

Expected Number of Attendees*

Company Address

Company City/Town

Company State/Province

Company Postal Code

Company Country

*Meeting with over 125 attendees are considered a symposium and are subject to special review.

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2. Organizer's Information (continued)

Planning Company (if applicable)

Planner Contact Name (if applicable)

Planner Contact Phone

Planner Contact Email

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3. Please list your preferred hotels. (Required.)

	Hotel Selection
First Choice Hotel	First Choice Hotel Hotel Selection menu
Second Choice Hotel	Second Choice Hotel Hotel Selection menu

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4. Please enter the dates and times for your meeting.

Events may only be scheduled as follows: *
Prior to Wednesday, October 11: Anytime
Wednesday, October 11: Before 3:00pm and after 6:30pm
Thursday, October 12: Before 9:00 a.m. and after 6:30 p.m.
Friday, October 13: Before 8:00 a.m. and after 6:00 p.m.
Saturday, October 14: Before 8:00 a.m. and after 6:00 p.m.
Sunday, October 15: Before 8:00 a.m. and after 12:30 p.m.
*Internal sales, business or staff meetings, Exhibitor training and pre-conference prep meetings can be held at any time. (Required.)

Start Date and Time

Date

Time

AM/PM

End Date and Time

Date

Time

AM/PM

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5. Please choose your Type of Group (Required.)

	Options
Type of Group	Type of Group Options menu

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6. Please choose your Type of Event (Required.)

	Options
Type of Event	Type of Event Options menu

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7. Please choose your Room Set-Up (Required.)

	Options
Room Set-Up	Room Set-Up Options menu

Other (please specify)

Affiliate Group Function Space Request Form - Molecular Targets 2023

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* 1. Hosting Company Information (Required.)

Question Title

* 2. Organizer's Information (continued)

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* 3. Please list your preferred hotels. (Required.)

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* 5. Please choose your Type of Group (Required.)

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* 6. Please choose your Type of Event (Required.)

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* 7. Please choose your Room Set-Up (Required.)

1. Hosting Company Information (Required.)

2. Organizer's Information (continued)

3. Please list your preferred hotels. (Required.)

5. Please choose your Type of Group (Required.)

6. Please choose your Type of Event (Required.)

7. Please choose your Room Set-Up (Required.)