Professional Workshop and Breakout Session Application
Deadline for submission is November 1, 2018. Workshops will be on Saturday, May 4, 2019,
San Francisco Airport Marriott Waterfront Hotel, Burlingame, California.

You will receive an email confirmation within minutes of submission of this form. If you do not see one, look in your spam folder or edit the form to make sure your email is correct.

Email address *
Deadline November 1st, 2018
Presenters first name *
Your answer
Presenters last name *
Your answer
Name of other presenter(s), if any
Your answer
Address Include: Number and Street, City, State, Zip *
Your answer
Home phone with area code *
Your answer
Cell phone with area code *
Your answer
Email to confirm accuracy *
Your answer
Title of the Presentation *
Your answer
Brief Description of Workshop/Breakout Session *
Your answer
Room Set-up *
Audio Visual Needs *
Required
Type of Presentation (length and focus) *
Member or Nonmember *
If you are a nonmember, what is the name of the DKG member making the recommendation?
Your answer
Members only, complete chapter and area
Chapter
Your answer
Area
A copy of your responses will be emailed to the address you provided.
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