ABOUT YOU

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* 1. First Name

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* 2. Last Name (Surname)

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* 3. Email address

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* 4. Telephone number

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* 5. Are you an active member of IGCS?

ABOUT THE DESTINATION

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* 6. Proposed City

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* 7. Country

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* 8. Venue/Conference Centre Name

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* 9. To your knowledge, were other medical conferences hosted in this city/country/venue in the past?

ABOUT YOUR SOCIETY

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* 10. Name of the local/regional society. (Write "NA" if not applicable)

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* 11. Website URL for local/regional society

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* 12. What is your role within the Society?

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* 13. Total members of local/regional society

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* 14. Is the regional society a current strategic alliance partner with IGCS?

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* 15. Does the local/regional society have an annual meeting?

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* 16. Will the local/regional society agree to NOT hold their national meeting that year, and instead hold sessions within the IGCS Annual Global Meeting?

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* 17. What is the next open year that no contract is in place for the local/regional society to host an annual meeting?

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* 18. Will the local/regional society agree to attract local participants, abstract submissions, and industry support?

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* 19. How many of your society’s members do you think would be interested in attending the IGCS AGM if it takes place in your country?

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* 20. How much industry support for the IGCS Meeting do you believe the regional society will help raising from local industry?

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* 21. How do you think IGCS can help the regional society on a global level?

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* 22. Are there more societies in the region interested in hosting IGCS in the destination?

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* 23. If different than the person submitting, who is the best point of contact at the local/regional society for follow-up discussion? (Name, email)

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