SABCS 2015 CLOSED SATELLITE EVENT APPLICATION

SABCS 2015 CLOSED SATELLITE EVENT APPLICATION
SUBMISSION DEADLINE: NOVEMBER 13, 2015
NOTE: ONLY ONE EVENT PER APPLICATION. Please submit additional applications for separate events.
A new application must be submitted for any changes made to an approved event. Submit new application with a copy of the approved application.
Type of Event (Please check one of the following)
q Business Office
q Committee Meeting
q Hospitality
q Investigators’ Meeting
q Media
q Social
q Staff Meeting
q University Alumni
q Other _________________________
Name of event (Topic if Media Event): _________________________________________________________________________________________
Name of group: ___________________________________________________________________________________________________________
Description of group (who will be attending): ___________________________________________________________________________________
Satellite events must be scheduled only during December 7–12, 2015. Events are approved only for the following dates & times.
Monday 12/7/15
Tuesday 12/8/15
Wednesday 12/9/15
Thursday 12/10/15
Friday 12/11/15
Saturday 12/12/15
Any Time
End before 11:30 am
Start 7:30 pm
Start 7:30 pm
Start 7:30 pm
Start 7:30 pm
Start 11:30 am
Date of Event: ____________________________________________________________________________________________________________
Start / End times: ____________________________________________________Estimated Attendance: __________________________________
Preferred venue: ________________________________________________________________________________________________________
Brief description of event (If Media Event, include overview of news to be released): ___________________________________________________
Company, institution or organization submitting this application: ___________________________________________________________________
Name & title of person submitting this application: ______________________________________________________________________________
Address: ________________________________________________________________________________________________________________
Street City State/Province Postal Code Country
Telephone: ___________________________________________________ Fax: ______________________________________________________
Email (please print clearly): _________________________________________________________________________________________________
Company Website: _______________________________________________________________________________________________________
Client, if application is submitted by meeting management company: _______________________________________________________________
Send completed application via email, fax or postal service to
SABCS
CTRC at UT Health Science Center San Antonio
7979 Wurzbach Road, MC 8224
San Antonio, TX 78229
Fax 210-450-1560
[email protected]
FOR OFFICE USE ONLY
Date Received
Date Reviewed
q approved q denied