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
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