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Presentation Info

Presentation Title

Presentation Overview

Presentation Objectives

Objective #1 *

Objective #2 *

Objective #3

Objective #4

Objective #5

Objective #6

Presentation Requirements

Terms & Conditions: By completing and submitting this contract you agree to the following: The WBC is not liable for the content of your presentation(s). As such, any claims made within are the sole responsibility of the presenter(s). This includes, but is not limited to content accuracy, plagiarism, and/or copyright infringements. Any legal claims made to the WBC, WBC, and/or MSRC regarding your presentation will be the sole responsibility of the presenter(s) and will be directed as such.

Conflict of Interest Statement: ADD_TEXT_HERE

PowerPoint Requirements: All PowerPoint presentations must be on non-company/industry branded slides.

AV Requirements: The WBC will provide a standard AV setup that includes: a laptop, room sound, a lapel microphone, a laser pointer, and an audience microphone. Please bring your presentation on a flash drive rather than a laptop as this makes the turn-around time between speakers much easier. If you have unusual video/sound needs or other AV type concerns, please let us know so we can prepare appropriately.

Images and Recordings: The WBC may post pictures of you presenting on our website or social media pages. We will NEVER record you presenting without your consent. If you are uncomfortable with us sharing occasional images of you, please let us know upon arrival and we will adjust our practice.

Honorarium

I would be presenting via sponsorship from:

Travel and Accommodations

The WBC committee will review your application and provide travel and accommodations as needed.

You will be reimbursed mileage to and from the conference for using your personal vehicle at the current IRS rate.
I estimate my travel miles to be:

The WBC Committee will assure reservations are made for a king-sized, non-smoking room in your name for one night.


The WBC Committee will assure reservations are made for a king-sized, non-smoking room in your name for two nights.



Please reserve a room for the following additional nights at my own expense:

Additional Comments

Presenter Info

First Name * (As it will appear)

Last Name *

Phone *

Email *

Credentials *

Job Title

Biography *

Please provide a short bio (NOT a CV). We will use this on our website or social media platforms to promote/highlight your presentation.

Professional Headshot

Please be sure to use a high-quality, vertical orientation photo.

Business/Organization *

Mailing Address *

City *

State *

Zip *