Comic Con Revolution West Palm Beach 2018 Panel Request Form
Panel Requirements
• Unless requested otherwise, panels are scheduled to be 50 mins long.
• The maximum # of participants per panel is 5 panelists with 1 moderator.
• Panel submissions will be closed for CCR WPB 2018 on December 15, 2018.
• Submitting a request form does not guarantee your panel will be scheduled.
• We will notify you if your panel is accepted by January 2018.
• 1 weekend speaker pass will be provided to each approved panelist.
Email address *
Contact Person's Name:
Your answer
Contact Person's Email:
Your answer
Contact Person's Phone Number:
Your answer
Suggested Panel Name:
Your answer
Moderator:
Your answer
Panelists:
Your answer
Panel Description (will be printed in program guide--be concise):
Your answer
A/V Needs (if any):
Your answer
Addition comments or requests:
Your answer
A copy of your responses will be emailed to the address you provided.
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