2011 ISS Presentation Submission Form


	Submitter's Contact Information:

*First Name:

*Last Name:

*Job Title:

*Company:

*Phone:

Mobile Phone:

Fax:

*Email:


	Submitter's Company Address:

*Address Line 1:

Address Line 2:

*City:

*State/Province:

Or:

*Zip/Postal Code:

*Country:


	Seminar Information

*I am submitting this
presentation for:

ISS Long Beach (CA.) - Jan. 21-23, 2011
ISS Orlando (FL.) - Feb. 25-27, 2011
ISS Atlantic City (N.J.) - Mar. 11-13, 2011
ISS Columbus (OH.) - Apr. 7-9, 2011
ISS Atlanta (GA.) - Sep. 8-10, 2011
ISS Ft. Worth (TX.) - Oct. 4-6, 2011

Check all that apply-All dates subject to change

Is there any date or time that you cannot present during any of the shows you selected?

Please specify

*Main category of
your presentation:

Select ONLY one

Suggestions for reaching this audience:

Please indicate potential sources other than ISS or Impressions

*Level(s) of
Presentation:

100 series (Introductory, little or no commercial experience)
200 series (Basic, 1-2 years experience)
300 series (Intermediate, 3-5 years experience)
400 series (Advanced, 5+ years experience)

Check all that apply


	Speakers:

*Speakers:

*First Name:

*Last Name:

Job Title:

Company:

Phone:

*Email:

*Bio Text:

(chars left: 3000)

Speaker Photo:

If you did not participate in an ISS conference last year, please include an up-to-date color (head shot) photograph of yourself. You can upload a jpg or tif image. It must be RGB. No CMYK

Public Speaking Experience:

(chars left: 1000)

Briefly describe your public speaking experience, and your expertise with the proposed topic.


	Seminars:

*Sessions:

*Speakers:

New speakers can be added above. Note: You must save the speaker before you can select them here.

*Seminar Title:

(chars left: 150)

*Seminar Description:

(chars left: 3000)

Give a one-paragraph synopsis of your presentation. This will be used as the basis for promotional copy for Show brochures, so be sure your information is descriptive and accurate


	Learning objectives of your presentation

*1.:

(chars left: 1000)

*2.:

(chars left: 1000)

*3.:

(chars left: 1000)

*This presentation
will be:

*Have you presented
this topic before?

If yes, When/Where?

Please indicate if at ISS or another venue