Co-presenter RFP

2016 AFP-NNE Annual Conference
Co-presenters

Please complete the online application and provide all requested materials
by end-of-day on Monday, July 22, 2016.

* Indicates required field

Name *

First

Last

Professional Title *

Company/Organization *

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Preferred Phone Number *

Email *

Who are you co-presenting with? *

What is your presentation title? *

Describe professional background and presentation experience. No more than 5 sentences. *

What audio-visual equipment will you require for your presentation? *

Flip chart with markers LCD projector (I have one and can bring it) LCD projector (I need one to be provided)

If you need a room set-up other than standard classroom/lecture style, please describe. *

Please provide a brief professional bio as you would like it to appear in conference communications materials. Please limit bio to 150 words. *

Please provide a headshot for each presenter for use in conference communications materials. *

Max file size: 20MB

Submit

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