901 N. Washington Avenue Lansing, Michigan 48906-5137 Telephone: (517) 485-5484 FAX: (517) 485-0801 E-Mail: saem@saem.org

Affiliated Meeting/Reception Request Form
SAEM Annual Meeting

Organizations and groups that wish to schedule Board, committee, or other non-educational meetings in conjunction with the Annual Meeting should complete this form. Organizations planning educational sessions for the SAEM Annual Meeting attendees must complete a satellite symposium application at http://www.saem.org/inform/satelite.htm by February 1.

SAEM provides meeting space on a space available and first come/first served basis. Space is usually available for meetings of no more than 20-25 people and for a limited amount of time, especially during peak times, in order to provide space to as many groups as possible. SAEM provides the space for a charge of $50 per event. In addition, organizations are responsible for all direct costs such as audiovisual equipment rental, food and beverage, etc.

SAEM prefers that meetings not conflict with the SAEM educational sessions, and encourages meetings to be held in the early morning or after the afternoon's educational sessions. SAEM will not provide meeting space during the SAEM Annual Business Meeting or the Plenary Session. Satellite symposia will not be scheduled in conflict with the educational sessions of the Annual Meeting.

Complete one sheet for each event. Do not submit this form until you have confirmed the date and time of your event. Because of multiple changes in past submissions, there will be an additional charge of $100 for each requested change in the date/time. This form is used only to secure the space for the event. Submit the form to SAEM, not the host hotel. You will receive email confirmation of your room assignment after April 1. Once confirmation is received, you will be responsible for contacting the hotel, to finalize all arrangements.

Please complete and submit this form to mschropp@saem.org by May 1. No meeting space will be provided after May 1.

Sponsor/Organization Name: ___________________________________________________________

Telephone Number: ____________________________ Fax: _________________________________

E-mail: _____________________________________________________________________________

Person to Whom Confirmation Should be Sent: _____________________________________________

Title of Event: ________________________________________________________________________

Date of Event: ________________________________________________________________________

Time: Beginning: _______________________________ Ending: _____________________________

Number of Persons Expected to Attend ___________________________________________________

Room Set-Up Required: __________ Schoolroom __________ Reception

__________ Conference __________ Rounds (Banquet)

__________ Theater __________ Other (Explain)

__________ U-Shape __________________________

Due to the large number of meetings that are requested and the increasing administrative cost, SAEM has instituted a charge of $50 per event. Please provide credit card information below:

Name on card: ______________________________________________

Card number: ____________________________________________

Expiration Date: __________________________________________

Billing address zip code: __________________________________

All meetings scheduled by SAEM will be posted on the SAEM website and published in the on-site program. If you wish your meeting to be posted "by invitation" check here: _______ post this meeting as "by invitation."

Do you plan on having music at your event? ____ Yes ___ No

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