Here's the form. If you would like to do something for programming or anyone know anyone you think should. Have them email this form to: stumpb@netins.net.

Please label the subject line as: ICON 30 Panel Registration Form

Title of Presentation:

Type of Presentation:

Discussion Workshop Performance Other

Requested Length of Presentation:

30 min 45 min 60 min 90 min 2 hr

Requested Time Slot:

Friday Saturday Sunday

Morning Afternoon Evening Late Night No Preference

Intended Audience:

Children General Audience Adult

Equipment Requirements:

Additional Information:

Brief Description of Presentation:

Primary Presenter Information:

Name:

Address:

Phone:

Email:

Names of Other Participants:

This entry was posted on Monday, July 4th, 2005 at 1:26 pm and is filed under ICON30. You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.