EmailMe Form - Panel Form

Name *
First Last
Email *
Phone *
### - ### - ####
Forum Name
Have you pre-registered? *
Yes
No

You must pre-register for your panel to be accepted/considered
Panel Name *
Panel Description *
Is this panel 18+? *
Yes
No
Ideal Day/Time to Host *
MM / DD / YYYY HH : MM AM/PM
Secondary Day/Time to Host *
MM / DD / YYYY HH : MM AM/PM
Equipment Required? *
Audio/Mics/Music/Computer
White Board/Markers
None
Comments
Anything we may need to know about your panel
Please select 'yes' if you understand that you may or may not get either one of your selected hosting times for your panel and that once the Gobble-Con schedule is set, it is set. There will be no changing of days/times once it has been finalized.
*
Yes, I understand
Please select 'yes' if you understand that if you need to cancell your panel(s), you are required to do so no later then November 1, 2012.
*
Yes, I understand