titl acwi banner

Registration & Speaker Form

Advisory Committee On Water Information
2010 Annual Meeting

February 10-11, 2010

Crowne Plaza Dulles Airport
2200 Centreville Road

Herndon, VA, 20171
Ph: (703) 471-6700   Fax (703) 742-8965

Registration deadline 1:00 p.m. EST, Friday, February 5, 2010

NOTE: Hotel room block is available until COB Friday,
February 5, 2010
Block name is "ACWI/USGS"

 

Note: Please use the tab key rather than the return/enter key to move from one option to another within the form.




FIRST NAME LAST NAME
(Please list how you want your Name tag and/or tent to be printed.)

ACWI Member  
 Organization                                

EMPLOYER 

POSITION  
   

STREET ADDRESS  

     CITY             STATE      ZIP CODE    

Area Code   Telephone no.    Ext  

FAX Area Code     Telephone no.  

EMAIL            

Please indicate your attendance at the meeting and lunch

Day 1   Yes     No    Lunch   Yes   No  

Day 2   Yes     No    Lunch  Yes    No     

 

Note: If you have any registration questions or difficulties, please contact Carol Lewis via
Phone 703-648-5676 - fax 703-648-5644 - Email:cilewis@usgs.gov

If you are not a speaker, to complete this form.

Speakers attending the meeting:
Please complete the following speaker information below:


Speaker Information

(Title of Talk)                          

 

    

Release Talk for the ACWI Website   Yes        No         

AV Equipment needed
LCD Projector for PowerPoint Presentations     
Handouts      

Presentations on (Please check as needed)
CD ROM     USB Flash Drive   
Overhead (as backup)      

Internet Connection Needed?        Yes      No        

Software Used
Microsoft PowerPoint   
2007     2003      2002     2000       1997     

Other  

Note
An LCD projector and laptop will be available at the conference center. We would appreciate receiving your presentation in advance (via Email attachment or CD-ROM). Please also bring your Presentation on USB Flash Drive or CD-ROM.

Please provide this information to: Carol Lewis, U.S. Geological Survey, 417 National Center, Reston, Virginia, 20192 - Phone 703-648-5676 - Fax 703-648-5644 -
Email: cilewis@usgs.gov

Copies
We must have at least one hard copy of your presentation for our official FACA records. Be sure to leave this at the Registration Desk. If you wish to provide all attendees with a black and white paper copy or outline of your talk, please bring 65 copies with you.

  or