Presenter Information 2010

Name: ___________________________________________

Address:__________________________________________

Phone:____________________________________________

e-mail:________________________________________ fax:______________________

Place of employment:__________________________________

Current position: ___________________________________

Please choose the time slot that would work best for you.

______10:00am - 10:35am AND 10:45am 11:20am (2 sessions)

_____10:00am to 10:35am, AND 10:45am to 11:20 am AND 11:30am to 12:05 am (3 sessions)

_____ 12:15pm to 12:50pm AND 1:00pm to 1:35pm (2 sessions)

_____ 12:15pm to 12:50pm and 1:00pm to 1:35pm and 1:45 to 2:25 pm (3 sessions)

_____ 1:00pm to 1:35pm and 1:45 to 2:25 pm (2 sessions)

What special equipment is needed for your presentation?

TV/VCR ________ Overhead projector ____________ Screen ___________

Extra Tables #______ LCD projector ______________

Other ____________________________________

Please include a 1-paragraph description of the types of responsibilities and duties you perform and any other interesting information you would like to include.


Please return by February 18, 2010.

Toni Decklever

1013 Logan Ave
Cheyenne, WY 82001

307-630-8575
e-mail - tonisrn@gmail.com
Thank You!!