Sample Meeting RSVP Form

ACOG DISTRICT I INTERIM
JF ADVISORY COUNCIL MEETING
                                                            

The Providence Courtyard by Marriott
Providence, Rhode Island
March 4-5, 2005

RSVP FORM

RETURN BY FRIDAY, FEBRUARY 11, 2005
(FOR ACOG USE ONLY, CALL HOTEL DIRECTLY AT 888/887-7955 TO MAKE RESERVATIONS)


PLEASE CHECK:

o        I plan to attend this meeting and will/will not (please circle one) need accommodations

I will require the following room type:        o Single          o Double

I plan to arrive on                                    ,                                              , 2005                                   
                                           Day                           Date

I plan to depart on                                   ,                                              , 2005
                                           Day                             Date

I will attend the dinner on Friday                                            o Yes         o No   

 

o        I am not able to attend this meeting (Please inform JF Chair, Dr. Erica Marsh of your reason)

----------- Please include the following information ----------

Name:                                                                                      Position:                                               

Address:                                                                                                                       

City/State/Zip:                                                                                                             

Work Phone:                                                                 Fax:                                                     

E-mail:                                                                                     

Please return this form by Friday, February 11, 2005 to:

Megan Willis, District I Project Manager
District & Section Activities
The American College of Obstetricians & Gynecologists
PO Box 96920
Washington, DC  20090-6920
Phone:  800/598-8048 or 202/863-2531
Fax:  202/863-0789

Contact:

Christine Himes
Manager
chimes@acog.org 

Wanda Proctor
Project Coordinator
wproctor@acog.org

For information about membership, please contact:
ACOG Membership Department
(202) 863-2404
membership@acog.org