Vendor Webinar - Presenter Form
Thank you for agreeing to present to our members through a webinar. So we can promote your session, please let us have a brief synopsis of your presentation and a bio we can use to introduce you.
Webinar title
*
Webinar synopsis
*
0/500
Which month would you like to hold the webinar?
*
If you have already agreed a date with ALGIM, please state the date here.
-
Month
-
Day
Year
Date
Presenter's name
*
Prefix
First Name
Last Name
Name pronunciation
Job title
*
Organisation
*
Presenter's contact number
*
-
Area Code
Phone Number
Presenter's email
*
Presenter's photo
*
Browse Files
A profile photo (preferably jpeg format, 200KB minimum)
Cancel
of
Presenter's bio
*
Please give us a short paragraph about yourself as ALGIM will be introducing you
0/150
Will someone else be presenting with you?
*
Yes
No
Second presenter's name
*
Prefix
First Name
Last Name
Second presenter's name pronunciation
Second presenter's job title
*
Second presenter's organisation
*
Second presenter's contact number
*
-
Area Code
Phone Number
Second presenter's email
*
example@example.com
Second presenter's photo
*
Browse Files
A profile photo (preferably jpeg format, 200KB minimum)
Cancel
of
Second presenter's bio
*
Please give us a short paragraph about yourself as ALGIM will be introducing you
0/150
PO Number
*
Enter N/A if this is your first webinar for ALGIM this financial year. If this is your second or third webinar you are proposing to run with ALGIM there is a fee of $500.00 + GST each webinar. Please enter your PO number for this.
Additional comments
For example please enter here if there are any particular questions you would like ALGIM to ask the attendees attending the session prior to the session being held.
Submit Form
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