Member communication questionnaire - Event
Thank you for contacting the HIMSS NYS Chapter to support your upcoming event. Before inviting our members to attend your event, we would like to learn more about how our members will benefit from attending your event and how we should best communicate the details. Please complete the following questionnaire at your earliest convenience. Your answers will be printed and submitted to the HIMSS NYS Board of Directors for approval. If you have multiple requests, please submit each request individually. Please email the Membership and Communications Chair, Marc Russo with any questions or concerns at firstname.lastname@example.org. Version 1.0 (Last updated September 2019)
Company Name (Hosting Event)
Contact information will only used for internal communication purposes.
Date Picker Icon
Event Location (Address)
Additional attachments (event flyer, brochure and other documents)
Value to HIMSS NYS members
Please list the following information about your event.
Who will attend your event (please list all healthcare executives including organization and title)
How many people are you expecting to attend the event (please list expected percentage of providers, administrators and vendors)
Why would a HIMSS NYS Member attend your event?
Please list all speakers, panelists, moderators and special guests
Please list all sponsors
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