Cranbrook Institute of Science Presenter Registration 2016

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* 1. Please provide your contact information.

Name:

Company:

Address:

Address 2:

City/Town:

State:

ZIP:

Country:

Email Address:

Phone Number:

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* 2. Please select day(s) you would like to present

Wednesday Sept. 14, 2016 8am-12pm 1 needed for this day/time

Thursday Sept. 15, 2016 afternoon only 11:30-3

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* 3. Presentation Title

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* 4. Presentation Description

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* 5. Would you like your presentation inside or outside (weather permitting)?

Outdoors

Indoors

Either is ok

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* 6. Do you need tables? If so, how many?

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* 7. Do you need access to water?

Yes

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* 8. If applicable, please provide details about your water needs.

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* 9. Do you need A/V equipment ( we have a limited number of projectors)?

Yes

Cranbrook Institute of Science Presenter Registration 2016

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* 1. Please provide your contact information.

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* 2. Please select day(s) you would like to present

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* 3. Presentation Title

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* 4. Presentation Description

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* 5. Would you like your presentation inside or outside (weather permitting)?

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* 6. Do you need tables? If so, how many?

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* 7. Do you need access to water?

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* 8. If applicable, please provide details about your water needs.

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* 9. Do you need A/V equipment ( we have a limited number of projectors)?

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* 10. Please list AV or other equipment requested.

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* 11. Will anyone assist with your presentation? If so, please list their name(s).

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* 12. Would you, or someone else from your team like a vegetarian lunch?

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* 13. Comments/Questions?