SPEAKER / ENTERTAINER
PRESENTATION REQUEST FORM

(FILL OUT THE FORM BELOW)
NOTE: Presenters should provide their own presentation equipment such as Projector, Screen, Laptop etc. We will provide a Sound System and Handheld Microphone.

NOTICE:
* REQUIRED FIELDS
(Your Information will NOT be shared with other companies.
)


Name/Date of EXPO * 
Indicate the EXPO that you are interested presenting at, along with your time-of-day preference.
CONTACT INFORMATION
 
Name *
E-mail *
Phone *
FAX 
Company *
Address *
City *
State *
Zip *
 
PRESENTATION INFORMATION
 
* TOPIC/TITLE:
Enter a brief catchy "one-line" title of the presentation topic.
 
* DESCRIPTION:
Enter a (30-60 words) description of the presentation.
 
* NAME OF PRESENTER:
Enter the name of the person doing the presentation.
 
* BIO OF PRESENTER:
Tell us about the presenters experience, training, education and history of expertise. (30-60 words)
 
* PHOTO OF PRESENTER:
Please ATTACH a web quality "head/shoulder" photo of the presenter.
To send the JPG photo of the presenter 
ATTACH it in an eMail to: CLICK HERE
 

PRESS SUBMIT (ONLY ONCE), (be patient) and you will be redirected 
back to the MediaMAX and Events and Expos, Inc. HOME PAGE.

If you would like immediate attention, please call (952) 238-1700.

(Please be patient. Click SUBMIT only ONCE) Thanks! :o)

©2008 MediaMAX Events and Expos Inc ~ Minneapolis, MN ~ (952) 238-1700