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2016 Information Session Application
Information Opportunities Application
The conference provides a unique opportunity to present a 20-minute talk about the services and products offered by for-profit and non-profit organizations that may interest and benefit the conference participants. Your application will be reviewed to determine if your for-profit or non-profit organization provides products or services that may be of great interest to conference participants. If approved, you will proceed to submit the non-refundable $1100 registration fee, and we will work closely with you to coordinate your session presentation.
Proposed Speaker Details
First Name
Last Name
Affiliation within the organization
Email Address
1-paragraph bio
Daytime Phone
Cell Phone
Organization Details
Organization Name
Website Address
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Proposed Presentation
3-5 sentence summary about your proposed presentation
Primary Contact
Contact First Name
Contact Last Name
Contact Email
Contact's Affiliation
Contact's Organization
By typing my name below, I certify that all information in my application is complete, factually true, honestly presented, and my own work. I understand and agree that an offer of admission may be rescinded at any time should Unite For Sight determine that I misrepresented or omitted material information from my application.
Full Name
Submit