EmailMe Form - APPLY TO PRESENT AT THE 2023 WORLD'S FAIR OF MONEY

Name *

First Last

Home phone

### - ### - ####

Convention phone

### - ### - ####

Where can we contact you during the convention in case we have any last-minute questions? Cell phone numbers preferred.

Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

Email *

Formal name *

Please enter your name as you would like it to appear on your certificate of appreciation:

Title of your presentation:

The ANA can provide the following audio visual equipment

Digital (LCD) projector & screen

Laptop computer (Windows 7, Office 7)

Exhibit cases;

If yes on exhibit cases, how many will you need?

Any other equipment you will need?

Preferred date? *

MM / DD / YYYY

Please consult the schedule for the show at which you wish to speak when determining your date.

Preferred time:

Please attach a brief biography to be used for your introduction. *

Please attach a brief description of your talk (limit to 50 words): *

Your presentation is accompanied by:

Computer images

Exhibit material

Other

If Other, please specify below:

Today's Date

MM / DD / YYYY

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