Contact name, phone and email:
List all speaker names and their titles:
Speaker's Biography. If there will be more than one speaker, include information for all presenters.
Title of presentation:
Describe the proposed presentation or workshop:
Please select presentation format:
A) Single speaker presentation (15 - 30 minutes)
B) Multiple speaker presentation (20 - 45 minutes)
C) Moderated panel (45 - 60 minutes)
If there will be multiple presenters or panelists, how many people will there be?
Will you need AV projection equipment?
Are you willing to serve on a panel presentation?