Pre-Lecture Form: Societies

Please use the form below.

* required

"*" indicates required fields

Lecturer's Name

Lecturer’s Name

Lecture Date

MM slash DD slash YYYY

Society Information

Society Name*

Program Coordinator

Program Coordinator Name

Email*

Address

Street Address City State Postal Code

Telephone (Work)

Telephone (Home)

Telephone (Cell/Mobile)*

Alternate Program Coordinator

Alternate Coordinator Name*

Program Coordinator Name

For the following dates

Email*

Address

Street Address City State Postal Code

Telephone (Work)

Telephone (Home)

Telephone (Cell/Mobile)*

If Lecture Title and Venue do not appear on the AIA web page, please fill in the following information

Lecture Title

Date

MM slash DD slash YYYY

Time

Hours

Minutes

AM/PM

Venue

If webinar, please provide link for registration

Audience Level

Expected size of audience

For Live Webinars

The following platform will be used (Zoom, GoToWebinar, etc.)

We would like to do a “test run” with the Lecturer

Yes

For In-Person Lectures

Audio/visual equipment

We have the following equipment for your use

Digital Projector

Laptop

Slide Advancing Remote

Laser Pointer

Other

Overnight accommodations

We would be pleased to house you at the home of a member

Name

Address

Street Address City State Postal Code

Telephone (Work)

Telephone (Home)

Telephone (Cell/Mobile)

We have reserved a room for you at a hotel or other accommodation.

Hotel or Other Accomodation Name

Name

Address

Street Address City State Postal Code

Telephone

Travel Information

Suggestions on travel to our society

Distance from nearest airport

Please try to arrive in our town at the following time of day

Suggestions on travel from our society to your next stop

Social Events

Our society is planning the following social functions in connection with your visit

Local Points of Interest

Additional lectures

If you are willing, we would like you to address the following

university group

other group

location

date/time

SCHOOL GROUP

location

date/time

terms/fees

Other Comments

Phone

This field is for validation purposes and should be left unchanged.

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Professionals

AIA Societies

For the Public

Educators

Society Information

Program Coordinator

Alternate Program Coordinator

If Lecture Title and Venue do not appear on the AIA web page, please fill in the following information

For Live Webinars

For In-Person Lectures

Audio/visual equipment

Overnight accommodations

Travel Information

Social Events

Additional lectures

support Us

Archaeological Institute of America

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