ISCP meeting endorsement - form for non-members

1. Organiser Details

Name

Address

City

Country

Postal/ZIP Code

Telephone number

Fax number

Email Address

2. Requester

Name

Telephone number

Fax number

Email Address

3. Event

Event Title

Web address

Please specify

International ProgrammeNationalRegionalOther

Start date (dd/mm/yyyy)

Venue Name

City

Country

4. Objectives

Programme objectives

Activities

WorkshopsRound TablesPlenary SessionsSymposia Seminars

Other (please specify)

Please provide a copy of the preliminary programme including talk titles, name and affiliation of participating faculty.

6. Statement

Requester statement and/or supporting comments.

Name

Date (dd/mm/yyyy)

Request for ISCP endorsement of meetings