The Frazzled Family- Hard Cover Book

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ROBERTA ROTH, CSW
Parenting Made Easy

1-914-686-6228
FREE PARENTING TIPS
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PROGRAM LOGISTICS

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Program Description                                         Program Date

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Number of Attendees                                         Program Start Time

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Program Lunch Time                                            Program End Time

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Program Site                                                         Street Address

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City                                         State                  Zip                 Telephone #

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Person Meeting Speaker (If any)                     After Work Emergency Telephone#

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Person Responsible for Audiovisuals        Telephone #                   Email Address

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Special Shipping Instructions (If Any)

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Person Responsible for Receiving Materials       Telephone #          Email Address

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Airport Closest to program              Distance: Airport to Speaker Hotel

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Distance: Speaker hotel to Program Site

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Ground Transportation Provided by Client (Please explain details)

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OR Transportation will be provided by Roberta Roth -Hertz confirmation #

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OR Taxi                                                   OR Hotel Shuttle

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Accommodations made by Client (Hotel- Direct bill)

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OR Accommodations made by Roberta Roth (Invoice Client)

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Speaker Hotel                                                    Street Address

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City                                             State            Zip                 Phone #

___________________________Corner/King/Non-smoking__________
Confirmation#                                Room type                Fax #

Please have the following setup and Audiovisual Requirements in place one (1) hour prior to the program start time- Thank you!

                           ---10' Screen
                           ---Lavaliere microphone
                           ---LCD Projector (For Power Point presentation)

Important: If you are putting a packet together and would like to have our black and white handouts in advance, please indicate one of the following options:

---Disk with PDF files to be mailed to:

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---PDF file to be emailed to:

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       Please  mail or fax this completed logistics form to:
ROBERTA ROTH, CSW, P.O. BOX 1517, SCARSDALE, NY 10583
1-877-771-5437; FAX (914) 941-5753
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