Speaker proposal submission form

Please Note:

All presenters must be up-to-date members of OBEA as of the date of the conference they are presenting at. (i.e., Spring Conference - April 19th, 2012)
In the case of multiple presenters for a single workshop, only one free one-day conference will be given per approved workshop.

Personal Information
Applicant Type*
Speaker Salutation*
Speaker First Name*
Speaker Last Name*
E-mail*
Business Name (if applicable)
Address*
City*
Province*
Postal Code*
Fax Number*	( ) -
Phone Number*	( ) -
Home Phone Number*	( ) -
Mobile Phone Number	( ) -
Phone extension
School/Institution*
OBEA Contact Person
Specify connection to vendor
Additional Speaker Information
Additional Speaker 1 First Name
Additional Speaker 1 Last Name
Additional Speaker 1 Email
Additional Speaker 2 First Name
Additional Speaker 2 Last Name
Additional Speaker 2 Email
Proposed Workshop Information
Workshop Title*
Workshop Description*
Present at:*	Fall 2012
Which Day(s) To Present	Thursday Friday Either Day Both Days
Related Subject*
Additional Information
Av Requirements	TV/VCR/DVD Internet Access Overhead LCD Projector Other
Regretfully, OBEA is not able to provide laptops. A limited supply of data projectors is available. Please indicate if you are able to bring your own data projector.
Will bring Projector	Yes
AV Requirements Other
Software Requirements
Other Information/Requests ie. timing (morning/afternoon)

Important Dates

Spring Conference
Holiday Inn Toronto Airport
April 19 & 20, 2012