Meeting Request Form | ISTH 2022 Congress

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meetings@isth.org

Meeting Request Form

Please review the instructions before completing this form.

Submit an Ancillary Meeting Request
Deadline: April 7, 2022

First Name

Last Name

Email

Code

Phone

Street Address

City

Region/State/Province

Postal / Zip code

Country

Meeting Name

Organization

Purpose of Meeting

Preferred Room Set-Up (Cannot Be Guaranteed)

Note: Screen, connection for laptop and multiple power points are included at no cost.

Additional Audio/Video Required?

Yes

No

Food and Beverage Required?

Yes

No

Number of Attendees

1st Choice Date

1st Choice Start Time

1st Choice End Time

2nd Choice Date

2nd Choice Start Time

2nd Choice End Time

3rd Choice Date

3rd Choice Start Time

3rd Choice End Time

Other Comments/Requests

Thanks for submitting!

Tel: +1 919 929 3807

Fax: +1 919 929 3935
meetings@isth.org

International Society on Thrombosis and Haemostasis (ISTH)
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