Speaker's contact
information:
*First
Name:
*Last
Name:
*Job
Title:
*Company:
*Address:
Address
Line 2:
*City:
State/Province
*Postal
Code:
*Country:
*Email
Address:
*Phone
Number:
*Fax
Number:
Optional Additional contact (PR Contact, assistant,
etc.):
First
Name:
Last
Name:
Job
Title:
Company:
Address:
Address
Line 2:
City:
State/Province
Postal
Code:
Country:
Email
Address:
Phone
Number:
Fax
Number:
Presentation Proposal:
*Type of Presentation Proposed:
Conference
Session - 1 hour duration, April 30-May 2
Special Interest Group (SIG) - 5 minute
talk, then discussion, April 29-May 1
Workshop - 3 hour duration on Sunday, April 28
Tutorial - 6 hour
duration on Monday, April 29
*Title of
Presentation:
*Description/Abstract of Presentation:
Additional
Information about Presentation (such as what attendees will learn or
why topic area is important):
*Speaker's Biography (up to 100 words. Do
not include a resume) :
About Your
Presentation:
Please specify any additional Audio
Visual Equipment you will require for your presentation (note that a
lavaliere microphone, data projector and screen will be provided as
standard equipment, so just list ADDITIONAL equipment):
*Do you have the necessary approvals from
your company in order to attend and speak at the conference?
*Have you given this presentation
before? If yes, please explain when and where:
*Level of Audience/Experience the Presentation is
Aimed At:
- Choose One - Introductory - No Experience Required Practitioner - 3+ years experience
Expert - 10+ years experience
All Levels
*Do You Accept the Speaker Presentation
Conditions ?
- Choose One -
Yes
No
Any additional comments?