Presenter Request - Convention 2023

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Please fill this form out. Note that if accepted, your session description and bio will be used in promotional materials.

Name of presenter *

Phone Number *

Email Address *

Compensation Expected ($) Please note we do not generally pay for breakout sessions but give a small gift in lieu. *

Expected Size of Audience *

1-50 Breakout

51-100 Breakout

101-250 Breakout

251-500 Breakout

500+ Keynote

Audience set-up

Theatre Style (rows)

Tables (rounds) & Chairs

Other:

Clear selection

Title of your presentation/session *

Supply us with a brief description of your session. This is what participants will see in the program. *

Provide a short biography that will be used to introduce you. *

List any experiences or references you have below: *

Please check off any equipment you will need. Explain any additional needs/specifics under other. *

Podium

Microphone

Projector & Screen

Music/Sound System

Laptop

Other:

Required

Any additional needs you have (e.g. photocopying, extra table for materials, etc.) *

Submit

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