GaymerX Panelist Signup
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First Name
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Last Name
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Company
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Address
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City/Town
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State
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ZIP
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Country
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Email Address
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Phone Number
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What type of panel would you like to take part in?
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Panel/Talk
Workshop
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Networking
Other:
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Please describe what role(s) you'd like play in panels?
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(Speaker, Moderator, Display, etc)
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Please list your credentials and/or professional experience or just a good reason why your presentation is a good fit for GaymerX.
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Please give a brief biography of yourself and experiences in geek/gaymer culture.
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