Affiliate Request

2024 Catholic Health Assembly

AFFILIATE EVENT REQUEST

Deadline to submit request form:   May 17, 2024
(one form per event request)

* denotes required fields
Please schedule the following:*
    *
To allow registrants to fully participate in the Assembly, please schedule your group's event in the following open time slots. Be sure to indicate your preferred date and time. NOTE: Affiliate Events may not be booked during Assembly programming, liturgies or networking events that are shown on the main schedule.
  • Before 12:00 p.m.
  • After 6:30 p.m.
Preferred time:

  • Between 7:00 - 8:00 a.m.
  • Between Noon - 1:00 p.m.
  • Between 4:00 - 5:15 p.m.
Preferred time:

  • Between 7:00 - 7:45 a.m.
  • After 12:00 p.m.
Preferred time:

 
Event title (as it should appear on signage)*
Maximum expected number of attendees*   Minimum guaranteed
Event will include:*
(Menu options will be mailed with confirmation letter.)
If event includes food, your preference of serving location is:
Preferred room setup:*
Would you like your event posted on the hotel monitors?*
Equipment needs:
 (quantity)





 (quantity)
 (quantity)
 (quantity)

 (please specify)
Additional Comments:

On-site contact

First Name*
Last Name*
Title
Organization*
Address Line 1*
Address Line 2
Country*
City*   
State/Province*
Postal Code*
Phone*
Fax
E-mail*



Submitted By
Full Name*
Phone*
Email*

DC OFFICE

1625 Eye Street NW
Suite 550
Washington, DC 20006
(202) 296-3993

ST. LOUIS OFFICE

4455 Woodson Road
St. Louis, MO 63134
(314) 427-2500

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