Special Events Request Form

Special Event Request Deadline

If you would like to have an event (breakfast, lunch, meeting, etc) at the 2009 PSA Annual Meeting in Raleigh, North Carolina, please fill in this form.

You will be contacted to confirm meeting details, food and beverage preferences and audio/visual needs.

Ticketed Events (to appear on Registration Form): Thursday, Febuary 5, 2009

All Other Events: Thursday, April 2, 2009


All fields are required unless otherwise noted.

Official Title of Event

Sponsoring Company/Organization (if applicable)

Type of Event
Meeting with Multiple Food & Beverage Needs
Meeting without Food & Beverage
Breakfast Only
Lunch Only
Dinner Only
Reception Only
Break Only

Ticketed Event on Registration Form
Yes
No

Audio-Visual Needs
Yes
No

Preferred Date
Monday, July 20
Tuesday, July 21
Wednesday, July 22
Thursday, July 23

Time of Event

Approximate Number of Attendees

Name

Company

Address


City
 

State
 

Zip

Phone

Email