Speaker bio and information short form

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Speaker bio and information short form

  1. 1. SPEAKER BIO AND INFORMATION FORM-Short Form Contact Information: Name: _________________________________________ Address: ____________________________City: ________ State: ____ Zip Code: ______ Email Address: ________________________ Cell Phone#: _________________________ Biographical Information: Short Bio: __________________________________________________________________ __________________________________________________________________ Complete Bio:__________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ AV Needs: Projector: Laptop: Microphone: (Type: _____________) Remote: ______________________ Other: ____________________________ I use: PC MAC Presentation Format: Keynote Powerpoint Handouts/Resources: Handouts: I will bring my own copies/handouts Please make copies for me Resources: Title: ______________________ Cost: _____________ Title: ______________________ Cost: _____________ Title: ______________________ Cost: _____________ Resource Set Up Needs: _______________________________________________________
  2. 2. SPEAKER BIO AND INFORMATION FORM-Short Form Special Requests: (Dietary needs, allergies, or other special requests below) ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________

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