*Name:
Affiliation:
Phone:
*Email:	You must enter a valid email address
Proposed LABS Meeting Title:
Proposed LABS Meeting date and location: (include features of area and facilities being considered):
Who should attend this LABS meeting? (job titles are helpful):

Meeting Overview (1–2 paragraphs/150–200 words)

Proposed Speakers (include Name, affiliation, presentation title or topic):

Proposed Program Agenda (include approximate times for each item):

What are the 2–3 of the biggest takeaways you want attendees to get from this meeting?:

Proposed relative costs for meeting (include venue costs, food & beverage, chair/table rental, etc.):