Affinity Request

Affinity Request

2017 Catholic Health Assembly

AFFINITY EVENT REQUEST
(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. Indicate your preferred date and time. Affinities may not be booked during Assembly program time.
  • Before 1:30 p.m.
  • After 6:30 p.m.
Preferred time:

  • Between 7:00 - 8:00 a.m.
  • Between 12:00 (noon) - 1:15 p.m.
Preferred time:

  • Between 7:00 - 8:00 a.m.
  • After 12:00 p.m. (noon)
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*