Call for Speakers

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Speaker Information

*Required
* Lead Presenter Name:
*Presenter Title:

*Presenter organization:

NOTE: Name, credentials, title, and organizational affiliation as listed above will be published on our website and conference brochures. Indicate above how you prefer them listed.

Combined, they will appear, for example, as:

Douglas Wildermuth, BS, NREMTP, CIC
Owner & CEO
E5 Support Services

*Paragraph Bio for Presenter:
*Address:

*Your E-mail:
*Best Phone:

Presentation Information

*Presentation Title:
*Presentation Summary (for conference brochure):

*Presentation Outline:

List 3 objectives for this presentation (objectives must be measurable and complete the sentence, "After attending this presentation, the learner will be able to:)

*Objective 1:
*Objective 2:

*Objective 3:

Upon acceptance of presentations, presenters will be contacted for a current copy of their CV or Resume and additional information required.