45th DPS Denver Meeting Workshop Proposal Form Please read Instructions, terms, and conditions before submitting your proposal. If you have any concerns, comments, or questions please contact Lisa Idem. Organizer Information First Name * Last Name * Institution * Phone * E-mail * Workshop Information Type of Workshop * - Select -Private Title of Proposed Workshop * Workshop Description * Maximum 300 words. If your workshop is public, this description will be published in the Meeting materials as well as the online schedule. Desired Session Date * Monday Tuesday Wednesday Thursday Friday See Calendar Desired Start Time * - Select -7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM Desired End Time * - Select -8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM Registration * - Select -I/My group will handle sign-up for this workshop (no registration fee)This workshop does not require registration Workshops that have registration fees must be listed on the DPS Meeting Registration form. Please submit your proposal by 20 June 2013 to be included in the DPS Meeting Registration form. Please contact email@example.com for details. Expected Number of Participants * Are you Charging Participants? * - Select -YesNo Fee Amount * $ Required if you selected "Yes" above. Audio Visual Equipment and ServicesA LCD Projector and Screen will be provided to all workshops at no charge. Please select any additional equipment and services that you require. There is a minimum $50 labor fee for all workshops that are requesting additional Audio Visual Equipment or Services. The fee may be higher depending on the amount/type of equipment or services you order. This is only an estimate of your needs and applicable charges. You will receive an accurate quote during the planning process.Audio Sound System - None -Up to 50 attendees - $50Up to 125 attendees - $150Up to 250 attendees - $200250 attendees and up - Pricing upon request Laptop Audio - None -Laptop audio played through room sound system. - $10 plus sound systemLaptop audio played through single speaker. - $35No audio from laptop. - $0 Podium Microphone - $25 each # Table Microphone - $25 each # Stand Microphone - $25 each # Wireless Lavalier Microphone - $100 each # Wireless Hand Microphone - $100 each # Mix Board - None -Up to 6 Microphones - $40Up to 8 Microphones - $75Up to 16 Microphones - $125 Mandatory for all meetings using more than 2 Microphones. Please choose the mix board that is applicable to the total number of microphones selected. Video Windows Laptop - $125 Mac Laptop - $125 Other Gentner - $125 (plus cost of sound system, mix board, phone line; requires additional AV labor fees) Blu-Ray Player - $TBD DVD Player - $40 Flip Chart - $25 White Board - $60 InternetWe are determining the wireless internet needs of the Workshop organizers and their users for the DPS Reno Meeting. Please indicate if wireless internet is required for your Workshop presentation(s) or your workshop attendees. Wireless Internet Wireless internet is required for my Workshop presentation and/or attendees (fees may apply) One Internet Connection (hard line) - Pricing Upon Request None Services Phone Line w/ Speakerphone - Pricing Upon Request CateringCatering is not included with your workshop. Catering can be arranged through Lisa Idem. Food and Beverage * None Continental Breakfast Afternoon Snack Boxed Lunch Hors d'oeuvres Soft Drinks and Bottled Water Water Station Coffee & Tea Service Cash Bar Hosted Bar Budget * $ Comments Statement of Understanding * I understand I am responsible for all costs associated with the splinter meeting or workshop including, but not necessarily limited to: Adminstrative/Room fee, catering, A/V equipment, internet, phone services and all applicable taxes and service charges. Invoices for all additional equipment, services, and catering ordered by a workshop will be sent to a recipient of the Organizer's choice, approximately 6-8 weeks following the conclusion of the DPS Meeting.