DEADLINE: December 16, 2012 (Requests received after deadline will not be published in the Program)

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Ancillary functions may only be hosted by SOT Affiliates, Exhibitors or organizations affiliated with SOT. All scheduled events must adhere to SOT regulations and may not take place during the following specified dates:

Sun, March 10	8:15 AM–12:00 NOON & 1:15 PM–5:00 PM	Continuing Education
Sun, March 10	5:15 PM–7:30 PM	Awards Ceremony & Welcome Reception
Mon, March 11	8:00 AM–9:00 AM	Keynote Plenary
Mon, March 11	9:15 AM–12:00 NOON & 2:00 PM–4:45 PM	Scientific Sessions
Tue, March 12	9:00 AM–11:45 AM & 1:30 PM–4:15 PM	Scientific Sessions
Tue, March 12	4:30 PM–6:00 PM	Annual Business Meeting
Wed, March 13	8:00 AM–9:00 AM	Plenary Lecture
Wed, March 13	9:00 AM–11:45 AM & 2:00 PM–4:15 PM	Scientific Sessions
Thu, March 14	9:00 AM–11:45 AM	Scientific Sessions

• Please submit one form for EACH function that you would like to hold.
• Once the function has been approved, you will receive written confirmation from SOT within one business week that your form was received. Your request will be forwarded to the hotel of your choice and the hotel will contact you directly for your meeting requirements.
• The Organization is responsible for payment of any charges for catering, audio visual, etc. You will need to provide billing information directly to the hotel. No space is guaranteed until billing arrangements have been made with the hotel.
• Deadline for this form is December 16, 2012. Ancillary meeting requests received after this date will not be published in the SOT final Program.
• Please notify SOT of any cancellations or changes to your meeting, up until the time of your event. Any changes made after December 16, 2012 will not be reflected in the final Program.
  

* = Required

Contact Information

* Organization:
* First Name:
* Last Name:
Title:
* Address:
Address:
* City:
* State/Province:
* Zip/Postal Code:
* Country:
* Phone:
Fax:
* E-mail:

Function Information

Function Name: (as printed in the final Program)

Function to be listed in the SOT final Program: Deadline for listing in final Program has passed. YesNo
Function to be listed on the Hotel Bulletin Board: YesNo

Number of People:   

Please select the day for the event, then enter start and end times for this function:

	Saturday, March 9, 2013	Start Time: AMPM	End Time: AMPM
	Sunday, March 10, 2013	Start Time: AMPM	End Time: AMPM
	Monday, March 11, 2013	Start Time: AMPM	End Time: AMPM
	Tuesday, March 12, 2013	Start Time: AMPM	End Time: AMPM
	Wednesday, March 13, 2013	Start Time: AMPM	End Time: AMPM
	Thursday, March 14, 2013	Start Time: AMPM	End Time: AMPM
	Friday, March 15, 2013	Start Time: AMPM	End Time: AMPM

Function Type (select one)

BreakfastDinnerWorkshop/SeminarReception
LuncheonMeetingOfficeOtherIf other, please specify:

A final guarantee for all food functions MUST BE given 72 hours before the event begins.

Room Set Up (select one)

ConferenceU-ShapeClassroomCocktail Rounds
Hollow SquareTheatreRound TablesOther If other, please specify:

Hotel Preference

Space will be assigned on a first-come, first-served basis after the SOT Committees and Specialty Section Meetings.  SOT has the right to change the space assignments.

• San Francisco Marriott Marquis—(Headquarters Hotel; 1 block from the Convention Center)

	Marriott Marquis

 

Please complete and submit form no later than December 16, 2012.