Affinity Request

2019 Catholic Health Assembly

AFFINITY EVENT REQUEST

Deadline to submit Affinity Requests:   May 9, 2019
(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 affinity sessions in the following open time slots. Be sure to indicate your preferred date and time. NOTE: Affinities may not be booked during Assembly programming, liturgies or networking events that are shown on the main schedule.
  • Before 1:00 p.m.
  • After 6:45 p.m.
Preferred time:

  • Between 7:00 - 7:45 a.m.
  • Between 12:15 - 1:15 p.m.
Preferred time:

  • Between 7:00 - 7:45 a.m.
  • Between 9:00 - 9:45 a.m.
  • After 11:00 a.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*