Samuraicon 2017 Panel Submission Form
Name of the event.
Name of lead panelist of the event.
Email of lead panelist of the event.
Panelist Phone Number
Phone # of lead panelist of the event.
Describe your panel to us.
Panel description for the convention program for attendees.
Panel Run Time
How long will your panel run? Please plan 15 minutes of set up time.
1 1/2 hours (90 minutes)
Intended audience for your panel.
Preferred Time Slot
Any Tech Needs?
Do you need a specific tech set up for your panel?
Possible Schedule Conflicts?
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