1. SPEAKER BIO AND INFORMATION FORM-Short Form
Contact Information:
Name: _________________________________________
Address: ____________________________City: ________ State: ____ Zip Code: ______
Email Address: ________________________ Cell Phone#: _________________________
Biographical Information:
Short Bio: __________________________________________________________________
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Complete Bio:__________________________________________________________________
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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. SPEAKER BIO AND INFORMATION FORM-Short Form
Special Requests: (Dietary needs, allergies, or other special requests below)
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