You can complete as much information as you are comfortable sharing with others in Prague and can opt in/out.

This information will only be shared with ICOM-US members and posted on the members only page on our website for viewing only access.

Contact mshevlin@hauck.com or icomus@icom.museum with any questions.

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* 1. Contact Information

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* 2. Email Contact Address for when in Prague:

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* 3. Phone Contact Number for when in Prague:

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* 4. ICOM-US Member Category:

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* 5. ICOM-US Member Number:

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* 6. International Committee(s) Involvement:

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* 7. Additional committees participation or leadership positions held, list below:

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* 8. Are you an ICOM-US 2022 travel grant recipient for Prague?

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* 9. Prague participation:

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* 10. Hotel in Prague:

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* 11. Arrival Date:

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* 12. Arrival Airline:

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* 13. Arrival Airport:

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* 14. Departure Date:

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* 15. Departure Airline:

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* 16. Departure Airport:

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* 17. Do you use a separate texting app for international travel? If so, please list the apps below (ex- WhatsApp, GroupMe, Signal).

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* 18. Are you giving a presentation in Prague or have session information you would like to share with your fellow US colleagues to attend? Please list the information below:

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* 19. Do you plan to attend the ICOM-US member reception in Prague the evening of August 23rd?

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* 20. Social Media Handles:

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* 21. Questions, Comments or Concerns

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