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ConStellation 12: Age of Aquarius
Panel Submission Form
If you have questions, please contact us at
programminggroup@constellationne.net
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Organization
If there is an associated organization running or helping with this panel, please include it here.
Your answer
Panel/Program Title
*
This is what will be put in the program book.
Your answer
Panel/Program Description
*
Your answer
How Many Presenters?
*
1
2
3
4
5+
Duration
*
1 Hour
2 Hours
Other:
Timeslot Preference
*
Start times listed
Friday Afternoon (3 PM to 5 PM)
Friday Night (7 PM to 12 AM Saturday)
Saturday Morning (before noon)
Saturday Afternoon (noon to 6 PM)
Saturday Night (6 PM to 12 AM Sunday)
Sunday Morning (before noon)
Sunday Afternoon (noon to 3 PM)
Any/No Preference
Other:
Required
Room Size
*
Small room, round tables for audience
Medium room, theater style
Large room, theater style
No preference (any of the above)
Will you need any of the following equipment from staff?
HDMI Projector & Cord
VGA Projector & Cord
Computer Speakers
Other:
Does this panel have an age restriction? If so, specify:
Your answer
Does this panel have a participation limit/room cap? If so, specify:
Your answer
Is there anything else we should know? (E.g. Need to move tables, anything not listed above, etc.)
Your answer
By filling out this form, you understand that ConStellation has permission to record your presentation and/or publish it in whole or in part and use it for promotional purposes.
*
I Agree
I Disagree
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