2007 NACCU Annual Conference
Presentation Proposal Submission Form
Please submit completed form by September 8, 2006

Instructions:  Please complete each field, then click SUBMIT at the bottom of the page. You will be taken to a confirmation page. Be sure to print the page before submitting for your records or in case a faxed copy is needed.
 


Presenter Name:      

Title:  

Institution/Company:              

E-mail Address: 

Phone Number:  
     

Fax Number:     

Mailing Address:   

City:   State:   Zip:

Co-Presenter Name:    
(leave Co-Presenter Information blank if none)

Co-Presenter Title:    

Co-Presenter Institution/Company:              

Co-Presenter E-mail Address: 

Co-Presenter Phone Number:  
     

Co-Presenter Fax Number:     

Co-Presenter Mailing Address:   

Co-Presenter City:   State:   Zip:

 


Presentation Title:  

Presentation Topic Track:  

Learning Objective (75 words or less) At the conclusion of the session, participants will be able to:

Session Focus (100 words or less) Describe the main topic(s) of the presentation:


AV/Equimpent - All Presentation rooms will be provided with a standard AV package that includes:
*Podium
*Table near podium with two (2) chairs
*One (1) microphone
*Screen projection panel
*A LCD projector with cabling for a laptop
*SPEAKERS MUST PROVIDE THEIR OWN LAPTOP

If you need equipment other than the standard package listed above, please note your needs:

Electronic Signature (Type your full name):     

Submission Date (00/00/2006):


  

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