Speaker and Author Opportunity Form

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As a nonprofit, educational organization, ACT greatly appreciates the time and effort that speakers and writers voluntarily put into preparing their presentations and articles. These individuals are invited as experts in their area to share information with peers on a professional level. In order to maximize the benefits members receive, ACT organizes regular conferences, webinars, and newsletters in order to share this wealth of knowledge with our membership.

If you would like to be considered as a speaker or refer a speaker for one of the ACT Conferences/Webinars or would like to have an article considered for inclusion in the newsletter, please submit the following information on-line for consideration or print the form attached to the bottom of this page and submit it following the instructions included on the form.

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If Referring a Speaker:
First Name *
Last Name *
Organization *
Phone Area Code *
Phone *
Email Address *

Name of Speaker
Speaker's Organization
Speaker's Phone
Speaker's Email
Presentation or Article Info:

Type *	Article Presentation - Conference Presentation - Webinar
Topic *
Title *
Brief Description *
If Available, Attach Abstract:

Item Name		Posted By	Date Posted
Speaker and Author Opportunity Form PDF (23.28 KB)		Administration	9/29/2009

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