MACPA Conference Speaker Information

This form will collect the AV, dietary needs etc. for Conference presenters.

MACPA Conference ^*

required

Please select the Conference you will be a presenter for.

Name

Prefix

First Name ^*

required

Last Name ^*

required

Suffix

Credentials ^*

required

Credentials will be included in all of our marketing materials (printed and electronic), as well as your name tag at any in person event.

Firm/Organization Name ^*

required

Email ^*

required

Phone ^*

required

Please provide us with your cell phone number for emergency use only.

The following AV equipment will be provided for your use at the conference:

Lectern Microphone, Wireless Lavaliere Microphone, Wireless remote to advance the slide deck, Data Projector, Laptop (PC) (for PowerPoint Presentation), Sound connection for laptop

PowerPoint Presentation ^*

required

I WILL have a PowerPoint Presentation

I will NOT have a PowerPoint Presentation

Will you use our laptop (PC) or bring your own? ^*

required

I will use your PC laptop

N/A (I will not need a laptop)

I prefer to use/bring my own laptop

Additional AV Equipment Needed?

Please list any additional AV you may need for your session (flipchart(s), etc.)?

Any additional information to share with us?

Please indicate below if there is anything else we should know: (i.e. dietary restrictions food allergies etc.)

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MACPA Conference Speaker Information