ISLWE Presenter Application

Presenter’s Application Form

Illinois Sustainable Living and Wellness Expo

Illinois Wesleyan University Shirk Center

Saturday, April 10, 2010

Please submit by March 13 th, 2010.

Name *
Organization/Business *
Address *
City *
State *
Zip Code*
Day Phone # *
Evening Phone #
Fax #
E-mail *
Website URL
Title of Workshop *
Target Audience *
Please provide a brief synopsis (25 words or less) of your workshop as you would like it to appear in the ISLWE Program Guide *
Preferred Presentation Time (please number in order of your preference from 1 to 6)
10:00 -10:50
11:00 -11:50
12:00 -12:50
1:00-1:50
2:00-2:50
(we will try our best to honor preferred choices)
Audiovisual Needs (check those that your presentation requires) *Slide ProjectorOverhead ProjectorLCD ProjectorComputer/PowerPointScreen TV/VCREaselNone
Other needs
Other comments
Please provide a brief biography (25 words or less) which, may be used as an intro for your session *

Thank you for your interest in the Illinois Sustainable Living and Wellness Expo 2010!

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