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Biological & Chemical Warfare and Terrorism - Medical Issues and Response

Add a Site

This information is the DEFAULT registration information for this site.

All fields in RED are required. Fields with * are conditionally required.

Default Mailing Address for this site
If you would like a different mailing address for this site than the one shown here, complete the Mailing Address section below.


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Facility Information
This is the address participants will see when viewing your site details. This address is used when linking your site details page to MapQuest or another third-party mapping solution to aid participants to find your site.
Name of Site
Address
City
State/Province
Postal Code
Country
Building
Room
Seating Capacity
Type of Site
If Other, please specify
Site Capabilities Select all that apply:
C-band Satellite
KU-band Satellite
CDV/GETN
LETN
CDV/Warrior
LTCN
FEMA/EENET
PBS/ALS
FETN
VCR
GE TiP-TV
VTC
HSTN
WebCast
JCSN
Other/Unknown
 

Mailing Address

If different than the Default Address above, enter the address where you would like event-related materials to be shipped. Leave blank if you want them sent to the Site Administrator. The Phone Number is needed for carriers such as FedEx who require a phone number to be provided.
Check this box to enable this mailing address. If selected, all fields in this section are required.
Organization *
Name *
Address *
City *
State/
Province *

Country *
Postal Code *
Destination Phone Number * This phone number is used as the Destination Number when shipping with FedEx
 
Site Access
Choose "Public" if your site is open to the general public. Choose "Restricted" if you wish to restrict registrations. To allow selected participants to register, enter an Access Code. [more info]
Site Access

 

Access Note
Access Code
 
Other Site Information
Site Notes
Driving Directions
Handicapped Accessible?
Facility Fee If your site wishes to collect a small fee from registrants to offset the cost of downlinking this site, enter the amount here. You are responsible for collecting this fee from participants. NOTE: There is NO charge for you to downlink this broadcast. Some sites incur expenses based on leasing space, equipment and hiring extra personnel.
 
Local Contact Person
If there is to be a contact person at the site other than the Site Administrator, enter their information here. Otherwise, registrants will contact the Site Administrator if they have questions about attending the event at this site.
Check this box to enable this Contact Information. If selected, name and phone number are required.
Contact Name *
Contact Phone Number *
Area Code Phone Number Ext.
Contact Fax
Area Code Fax Number
Contact Email
 
Technical Contact
If this site has a specific individual in charge of the technical issues such as configuring and troubleshooting satellite downlink equipment, enter their contact infomation here. Designating a Technical Contact is Highly Encouraged!
Check this box to enable this Technical Contact Information. If selected, name and phone number are required.
Technical Contact Name *
Technical Contact Phone Number *
Area Code Phone Number Ext.
Technical Contact Fax
Area Code Fax Number
Technical Contact Email
   

 

Mini FAQ

How do I change the mailing address for my site?
How do I manage the seating capacity of my site?
How can I control access to my site?
View Entire FAQ

 

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