+-----------------+--------+-------+---+---------+-----+------------+
| **National      |        |       |   |         | D   |            |
| Library of      |        |       |   |         | ate |            |
| Medicine**      |        |       |   |         | of  |            |
|                 |        |       |   |         | Re  |            |
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| Hill            |        |       |   |         |     |            |
| Auditorium**    |        |       |   |         |     |            |
|                 |        |       |   |         |     |            |
| *Use prescribed |        |       |   |         |     |            |
| by NIH Manual   |        |       |   |         |     |            |
| 1363-1*         |        |       |   |         |     |            |
+-----------------+--------+-------+---+---------+-----+------------+
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|                 |        |       | u |         |     |            |
|                 |        |       | m |         |     |            |
|                 |        |       | b |         |     |            |
|                 |        |       | e |         |     |            |
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|                 |        |       | c |         |     |            |
|                 |        |       | h |         |     |            |
|                 |        |       | a |         |     |            |
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|                 |        |       | r |         |     |            |
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|                 |        |       | p |         |     |            |
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|                 |        |       | 8 |         |     |            |
|                 |        |       | \ |         |     |            |
|                 |        |       | _ |         |     |            |
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|                 |        |       | \ |         |     |            |
|                 |        |       | _ |         |     |            |
|                 |        |       |   |         |     |            |
|                 |        |       | O |         |     |            |
|                 |        |       | t |         |     |            |
|                 |        |       | h |         |     |            |
|                 |        |       | e |         |     |            |
|                 |        |       | r |         |     |            |
|                 |        |       | ( |         |     |            |
|                 |        |       | p |         |     |            |
|                 |        |       | l |         |     |            |
|                 |        |       | e |         |     |            |
|                 |        |       | a |         |     |            |
|                 |        |       | s |         |     |            |
|                 |        |       | e |         |     |            |
|                 |        |       | s |         |     |            |
|                 |        |       | p |         |     |            |
|                 |        |       | e |         |     |            |
|                 |        |       | c |         |     |            |
|                 |        |       | i |         |     |            |
|                 |        |       | f |         |     |            |
|                 |        |       | y |         |     |            |
|                 |        |       | ) |         |     |            |
+-----------------+--------+-------+---+---------+-----+------------+
| FURNITURE       |        |       |   |         |     |            |
| REQUIRED        |        |       |   |         |     |            |
|                 |        |       |   |         |     |            |
| (Please check   |        |       |   |         |     |            |
| all that apply  |        |       |   |         |     |            |
| and state       |        |       |   |         |     |            |
| desired         |        |       |   |         |     |            |
| quantity):      |        |       |   |         |     |            |
|                 |        |       |   |         |     |            |
| Easel(s)        |        |       |   |         |     |            |
|                 |        |       |   |         |     |            |
| Flip chart      |        |       |   |         |     |            |
|                 |        |       |   |         |     |            |
| Extra tables    |        |       |   |         |     |            |
| and chairs in   |        |       |   |         |     |            |
| the lobby       |        |       |   |         |     |            |
|                 |        |       |   |         |     |            |
| Other (please   |        |       |   |         |     |            |
| specify)        |        |       |   |         |     |            |
+-----------------+--------+-------+---+---------+-----+------------+
| Will you        |        |       | I |         |     |            |
| require         |        |       | f |         |     |            |
| admission to    |        |       | y |         |     |            |
| the building    |        |       | o |         |     |            |
| before the      |        |       | u |         |     |            |
| regular 7:00    |        |       | w |         |     |            |
| a.m.            |        |       | i |         |     |            |
|                 |        |       | l |         |     |            |
| opening time?   |        |       | l |         |     |            |
| (If "Yes,"      |        |       | b |         |     |            |
| please specify  |        |       | e |         |     |            |
| time.)          |        |       | b |         |     |            |
|                 |        |       | r |         |     |            |
| Yes No          |        |       | i |         |     |            |
|                 |        |       | n |         |     |            |
|                 |        |       | g |         |     |            |
|                 |        |       | i |         |     |            |
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|                 |        |       | m |         |     |            |
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|                 |        |       | r |         |     |            |
|                 |        |       | ( |         |     |            |
|                 |        |       | s |         |     |            |
|                 |        |       | ) |         |     |            |
|                 |        |       | , |         |     |            |
|                 |        |       | p |         |     |            |
|                 |        |       | l |         |     |            |
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|                 |        |       | a |         |     |            |
|                 |        |       | s |         |     |            |
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|                 |        |       | c |         |     |            |
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|                 |        |       | e |         |     |            |
|                 |        |       | a |         |     |            |
|                 |        |       | s |         |     |            |
|                 |        |       | a |         |     |            |
|                 |        |       | p |         |     |            |
|                 |        |       | p |         |     |            |
|                 |        |       | r |         |     |            |
|                 |        |       | o |         |     |            |
|                 |        |       | p |         |     |            |
|                 |        |       | r |         |     |            |
|                 |        |       | i |         |     |            |
|                 |        |       | a |         |     |            |
|                 |        |       | t |         |     |            |
|                 |        |       | e |         |     |            |
|                 |        |       | : |         |     |            |
|                 |        |       |   |         |     |            |
|                 |        |       | M |         |     |            |
|                 |        |       | a |         |     |            |
|                 |        |       | c |         |     |            |
|                 |        |       | P |         |     |            |
|                 |        |       | C |         |     |            |
|                 |        |       | O |         |     |            |
|                 |        |       | t |         |     |            |
|                 |        |       | h |         |     |            |
|                 |        |       | e |         |     |            |
|                 |        |       | r |         |     |            |
+-----------------+--------+-------+---+---------+-----+------------+
|                 |        |       |   |         |     |            |
+-----------------+--------+-------+---+---------+-----+------------+
| I agree to      |        |       | T |         | O   |            |
| serve as        |        |       | i |         | rga |            |
| sponsor for the |        |       | t |         | niz |            |
| above meeting   |        |       | l |         | ati |            |
| and I concur    |        |       | e |         | on: |            |
| with the        |        |       | : |         |     |            |
| NLM/NIH         |        |       |   |         |     |            |
| policies        |        |       |   |         |     |            |
| governing these |        |       |   |         |     |            |
| facilities.     |        |       |   |         |     |            |
| (NIH Manual     |        |       |   |         |     |            |
| 1363 and        |        |       |   |         |     |            |
| 1363-1.)        |        |       |   |         |     |            |
|                 |        |       |   |         |     |            |
| Signature of    |        |       |   |         |     |            |
| DHHS/NIH        |        |       |   |         |     |            |
| Sponsor:        |        |       |   |         |     |            |
+-----------------+--------+-------+---+---------+-----+------------+
| **PART B -- To  |        |       |   |         |     |            |
| be completed by |        |       |   |         |     |            |
| NLM Conference  |        |       |   |         |     |            |
| Management,     |        |       |   |         |     |            |
| Office of       |        |       |   |         |     |            |
| Communications  |        |       |   |         |     |            |
| and Public      |        |       |   |         |     |            |
| Liaison**       |        |       |   |         |     |            |
+-----------------+--------+-------+---+---------+-----+------------+
| **Confirmation  |        |       |   |         |     |            |
| of Conference   |        |       |   |         |     |            |
| Facility**      |        |       |   |         |     |            |
+-----------------+--------+-------+---+---------+-----+------------+
| Signature of    |        | Phone |   | Buildin |     | Date:      |
| person          |        | Nu    |   | g/Room: |     |            |
| confirming      |        | mber: |   |         |     |            |
| reservation:    |        |       |   |         |     |            |
+-----------------+--------+-------+---+---------+-----+------------+

NIH 827-2 (Rev. 3/03)