VSS Satellite Event Request Form Use this form to submit your request for a satellite event at the 2023 VSS Annual Meeting, to be held in person on May 19 – 24, 2023 at the TradeWinds Island Resorts, St. Pete Beach, Florida. Please make sure you have reviewed the Satellite Events Guidelines prior to completing your request. Contact InformationName* First Last Affiliation* Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Cell Phone Onsite*Email* Co-Organizer (if applicable) First Last Affiliation Email Cell Phone OnsiteEvent InformationTitle of Event* Brief Description of Event*Names of speakers and/or participantsThis Event Is…* Open to All By Invitation-Only Estimated Attendance* Length of Event* 1 – 2 hours 1/2 day 1 full day 2+ days What type of function are you planning?* Scientific Event (user’s group/workshop) Board Meeting Exhibitor Function Social Event Preferred Room Set* Banquet Classroom Conference Hollow Square Theatre U-Shape Reception Show me examples of the room sets above Meeting Room Preference (if familiar with meeting space) Will you require any audio-visual equipment?* Yes, I will need to rent from the hotel Yes, I am bringing my own A/V equipment No Will you be ordering food & beverage? If yes, what type?* Breakfast Lunch Coffee Breaks Reception Has this event been held at a previous VSS meeting?* Yes No Please add any additional information about your satellite you'd like us to know.Schedule PreferenceEvents intended for all VSS attendees may not overlap with official VSS events. Approved satellite events will be scheduled in March and organizers of accepted events will be notified thereafter. Please indicate three preferred times in order of preference as your top choice may not necessarily be available. Scheduling is at the discretion of the VSS Board of Directors.First Preference*Please indicate your first choice for a time slot:Friday before noonSaturday 12:30 – 2:30 pmSunday 12:30 – 2:30 pmSunday 7:30 – 10:00 pmMonday 2:00 – 5:30 pmTuesday 12:30 – 2:30 pmTuesday 7:30 – 10:00 pmSecond Preference*Please indicate your first choice for a time slot:Friday before noonSaturday 12:30 – 2:30 pmSunday 12:30 – 2:30 pmSunday 7:30 – 10:00 pmMonday 2:00 – 5:30 pmTuesday 12:30 – 2:30 pmTuesday 7:30 – 10:00 pmThird Preference*Please indicate your first choice for a time slot:Friday before noonSaturday 12:30 – 2:30 pmSunday 12:30 – 2:30 pmSunday 7:30 – 10:00 pmMonday 2:00 – 5:30 pmTuesday 12:30 – 2:30 pmTuesday 7:30 – 10:00 pmNotes about schedule preferenceOrganizer Responsibilities* I understand that the organizer or sponsoring organization for this event assumes full responsibility for any expenses including food & beverage, audio-visual, special room set ups and room rental fees, if applicable. 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