2010 Seminar Request Form

This form must be received by April 15, 2010.

If you have any questions you may call (206) 283-9545 or TOLL FREE (866) 238-3250.

SEMINARS ARE SCHEDULED ON A FIRST-COME, FIRST-SERVED BASIS. SEMINAR CONTENT MUST BE INFORMATIVE AND EDUCATIONAL. SALES-ORIENTED CONTENT IS UNACCEPTABLE. SEMINAR DESCRIPTION AND BIO OF SPEAKER MUST BE INCLUDED WITH REQUEST FORM. INCOMPLETE AND/OR ILLEGIBLE FORMS WILL DELAY PROCESSING.

PLEASE UNDERSTAND THAT ACCEPTANCE OF THIS FORM IS SUBJECT TO APPROVAL.

ASSIGNED SEMINAR DAY AND LOCATION WILL BE SENT VIA E-MAIL.

Items below marked with an asterisk (*) are required.

1. Company Name(*)
2. Contact(*)
3. Name of Presenter(*)
4. Address(*)
5. City(*)
6. State/Province(*)
7. Zip Code(*)
8. Phone Number(*)
9. Cell Phone / Phone at Rally(*)
10. Email Address(*)
11. Seminar Title And Description(*)
12. Brief Bio of Speaker(*)
13. Room set-up includes wireless (lapel-type) microphone, screen and podium. Please check the additional equipment needed for your seminar below. Service charges will apply for all extra equipment ordered. Late fees will be assessed for any requests made after April 15, 2010.
14. Additional Equipment Needed
15. Slide Projector Overhead Projector LCD Projector VCR/TV Other
16. If you answered Other above, please explain
17. Would you be willing to present your seminar on Early Bird Day?
18. Yes No
19. Please enter the verification code

 

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