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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
