Thursday, September 9, 2010
Items denoted with a red asterisk * are required.
TPLS Presenter Needs
 
To facilitate the preparation for presentations and workshops, TPLS would like for visiting presenters and instructors to fill out the form below. This will allow us to best meet your needs and ensure a successful experience for you and your attendees.

Please send us promotional information to assist in the advertisement of this event. Bio, pictures, etc. . .
 * Presenter Name
 
First Name
M.
Last Name

First Name / Last Name
Co-Presenter Name
 
First Name
M.
Last Name

First Name / Last Name
Business/Organization Represented
 
 * Main Contact Number
 
 -  - 
(XXX)-XXX-XXXX
Secondary Contact Number
 
 -  - 
(XXX)-XXX-XXXX
 * Email Contact
 
 * I Will Provide All Of My Hardware/Software Needs
 
Hardware/Accessory Needs Select All That Apply
 
 
 

If other, please detail
Software/Connection Needs Select All That Apply
 
 
 

If other, please detail
 * Handouts For Presentation/Workshop
 
 
 

Special Notes About Handouts
 * Please indicate your desired room layout.
 
 
 

If Other, Please Detail
Please Detail Any Special Accomodations Needed
 
 * Lodging Information
 
 * Would you like to be picked up from the motel and brought to the workshop?
 
 * Preferred Method Of Contact