ConBravo! Panelist Application 2017
If you're looking to be a panelist at the 2017 convention, either individually or as part of a group, please fill out the application below.

You will be able to indicate that you are looking to be part of requested panels or indicate your background and experience and interests using this form. If you have panel ideas, please submit them using the Panel Idea form.

Your Full Legal Name
This must be your actual name. If you have another name you use professionally or at conventions, please indicate that where asked.
Your answer
Your Preferred Name
This is the name which you would like to use at the convention.
Your answer
Your Email Address
Your answer
Are you registering as an individual or part of a group or organization?
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