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Room/Meeting/Calendar Request Starting date of meeting:     Calendar   Ending date of meeting:     Calendar   Meeting start time: 08:00 08:30 09:00 09:30 10:00 10:30 11:00 11:30 12:00 12:30 13:00 13:30 14:00 14:30 15:00 15:30 16:00 16:30 Meeting end time: 09:00 09:30 10:00 10:30 11:00 11:30 12:00 12:30 13:00 13:30 14:00 14:30 15:00 15:30 16:00 16:30 17:00 17:30 Anticipated attendance: less than 15 people 15 to 25 people 25 to 60 people Hosting Committee/Workgroup/Zone Name: Board of Directors Air Medical EMS Finance Hospital Preparedness Program (HPP) Pediatric Physicians Advisory Professional Development Public Education-Injury Prevention Public Relations REPC System Development System Performance Improvement By-Laws CIS EMOC Surge Training/Exercise Zone 1 Zone 2 Zone 3 Zone 4 Zone 5 Zone 6 Zone 7 Zone 8 Other Please indicate what resources you will need: Video Conference Telephone Conference Laptops Needed Recording Presentation Support Copying Meeting Administration   Is there anything else we can provide?:   Name:*   Email address:*   Phone number:*   Organization:*   Position:*   Reason for request:*   *  Required