User Group Name:

Acronym:

Web Site:

President:

Program Director:

Contact E-mail:

Phone (contact person): (h) and (w)

Phone: Contact # (cell) for night of meeting in case of emergency

Mailing Address:

Shipping Address:

Newsletter: Circulation

Number of Members:

Regular Meeting Attendance:

Meeting: 2^nd Wednesday of each month

Meeting Place:

Directions:

Typical Meeting Agenda:

Equipment Available – please let us know what you need:

Type of projector w/specifications

Type of microphone

Phone line / DSL / Cable

Advertising Rates:

Business Card

Quarter Page

Half Page

Full Page

Airports

Name(s) / closest to meeting place

Local Hotels:

Name, address, phone, rates