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Affiliate Space Request Form

November 12-16, 2010

Sheraton Boston Hotel - Meeting
Hynes Convention Center - Exhibits & Posters

DEADLINE: AUGUST 4, 2010

If necessary, please complete a separate request form for each function room required.
*	Committee/Company/Group
*	Contact Name
*	Address
*	City
*	State/Province
*	Zip/Postal Code
*	Telephone
	Fax
*	Email
*	Name of Event
*	Preferred Date of Event
*	Preferred Starting Time of Event
*	Preferred Ending Time of Event
*	Number of Expected Guests
	Expected Atendee Type	58th Annual Scientific Meeting Attendees Company Personnel Only Other
	Other Type
	Event will be held at the Sheraton Boston Hotel
	Other Location
	Food and Beverage Required
	Room Set-Up Required
	Audiovisual Required
The ASC has contracted with Visual Aids Electronics as our preferred AudioVisual provider. If you require audiovisual, contact information for VAE will be forwarded to you. The ASC must review and approve ANY event affecting ASC Meeting Attendees during the inclusive dates of the Annual Scientific Meeting before promotion and implementation of the event can occur, whether it is being held at ASC contracted facilities or otherwise. Christy Myers, ASC Meetings Manager, will contact you regarding your event request. Agreement to the terms of the ASC Policies and Guidelines - for Industry and Others' Participation is required.
*	Terms of ASC Policies and Guidelines	I Agree I do NOT Agree
*	Name

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