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Speaker Information:

 

Please give this information for every program you wish to list with us. There is no limit to the number of programs you can list with us.

 

Eventually, when the volume warrants it we will provide a searchable database. If you have any questions, you can email us or call us at 856-635-9770. 

 

Name:

Title:

Telephone:

Fax number:

Email address:

Company Name:

Company Address:

Web URL:

Presentation Title:

Presentation Description:

Fee:

Are you willing to give this presentation for free or at a reduced rate for non-profit organizations?

No  Yes, Please give detailed restrictions.

How far are you willing to travel?

Please list this in miles from your home city.

Do you provide handouts?

No  Yes, Please give detailed restrictions.

Can they contact you for copies?

No  Yes, Please give detailed restrictions.

Length of time needed for setup?

Length of time needed for Presentation?

Length of time needed for Q&A session?

Technical Requirements:

 Microphone, TV / VCR, LCD projector. Please give exact details.

Flip charts / white boards:

No  Yes, Please give detailed instructions.

Room Requirements:

Time slot:

Morning    Afternoon    No preference

Special needs / Requests: