Endorsement Request Form

Please submit your request for endorsement to the Administrator at least 3 months in advance of the conference.

This request is for:*

Event Title*

Event Theme

Please provide the purpose of the meeting (Summary response)*

Please provide details of plenary / keynote / invited speakers. (Summary response)*

Please provide registration categories, what is included (coffee breaks, lunches, dinners, etc), discounted fees for early stage researchers and TERMIS members (if endorsed) (summary response)*

Please explain how the meeting will be of interest, relevance and/or benefit to the TERMIS membership. (summary response)*

Please provide (draft) programme. * Upload a file or drag and drop. pdf, doc, docx up to 2MB

Please confirm that the event does not overlap with any TERMIS meeting of any chapter.*

Confirmed

Please confirm that the TERMIS endorsement would be stated at the event's web-page.*

Confirmed

Date of request*

Date of the event

Location of Event

Event Website

Contact Person*

Affiliation

Address

City

State

ZIP

E-mail*