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A Look Ahead Speaker Proposal Form
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Name of Presenter OR Team/Group: *
Title of Presentation: (55 characters or less) *
Description of Presentation: (This is what will be printed in the Registration Packet and Conference Program) *
Length of Presentation *
Age group my presentation addresses: (Please check all the apply) *
Required
I can present on these days:  *
Required
I can present during the: *
Required
Other Audio/Visual Needs: (each room is equipped with a laptop, projector, and screen) *
This is my first ALA Conference Series Speaker Proposal *
Mailing Address:  *
Home/Work Phone:  *
Cell Phone number: *
Email Address: *
Biographical Information: (Printed in Conference Program) *
I will take advantage of the complimentary exhibitor table *
Name/s of the people (2) who will staff the table *
I will take advantage of the complimentary lunch *
I have the following food allergies:  *
Other Information or Accommodations
 *
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