Special Event Request Form


Please fill out and submit this form by the appropriate deadline to schedule an event at the 2019 ADSA® Annual Meeting in Cincinnati, Ohio.

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

Special Event Request Deadline

Ticketed Events (to appear on Registration Form): November 30, 2018

All Other Events: April 1, 2019

The 2019 ADSA Annual Meeting will be held June 23-26, 2019 (Sunday through Wednesday). The opening session will be held on Sunday evening, June 23; Sessions will kick off Monday morning, June 24, and run through Wednesday at 5:30 pm, June 26.

All fields are required unless otherwise noted.

Official Title of Event

Sponsoring Company/Organization (if applicable)

Type of Event








Ticketed Event on Registration Form



Event to appear in Schedule of Meeting Events



Audio-Visual Needs



Preferred Date







Time of Event

Approximate Number of Attendees

Preferred Location for Event




Name

Company/Organization

Address



City

State/Province

Zip/Postal Code

Country

Phone

Fax

Email