Speaker Registration

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Speaker registration is complimentary for those attending only the day they speak, though many still pay registration to support the Forum. If you would like to attend both days of the conference, we ask you to please pay for your registration.

Please submit your speaker information here by October 1. Please submit your PowerPoint to Marissa Jacobs by October 15th at the latest.

Speaker Registration

* Indicates required field

Name *

First

Last

Email *

Organization *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Meal Choice *

Regular Vegetarian Gluten Free

Days Attending *

Wednesday Only Thursday Only Both Days

If you are only attending the day you speak, there is no charge unless you want to pay. If you are attending both days, please pay registration fees.

Speaker BIO (~500 Words or Less) *

*Please send your professional photo to Marissa at marissa@sagebrushevents.com to be added to the website.

Program Title *

Brief Program Description *

Audio/Visual Needs (check all that apply). You will be provided with a microphone, podium & clicker automatically) *

Power Point (send to Marissa by Oct. 15 to be pre-loaded on our computer) Internet Connection Sound Hook-Up (for any videos) DVD No additional AV

Everyone will have a microphone and a podium. Let us know what else you'll need.

Regarding your PowerPoint *

Yes, you may post it to the website as a PDF. No, you may not post it to the website. I am not using PowerPoint.

Anything else? *

May we share your contact information with conference attendees? *

Yes No

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