Speaker Agreement

MoGIC Speaker Agreement (2022)
Conference Date: Wednesday, November 30, 2022

Location: St. Charles Convention Center, St. Charles, Missouri

Thank you for agreeing to speak at the 2022 MoGIC conference on Wednesday, November 30, 2022. Please complete the form below. If you have any questions, please email info@mogic.org.

Be sure to click the SUBMIT button at the bottom of this page.
Speaker Information
Name *

First Name Last Name
Company or Organization *
We create a speaker directory on the conference website. Unless you tell us otherwise, we will show your name, company or organization, title, short bio, city, state, and headshot photo. Your email, address, and phone number will not be shared.
Title (i.e., Certified Arborist, PhD, Certified Landscape Architect - to assist with CEU's) *
Short Bio (This will be used on the event website and program): *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Cell Number *

Area Code Phone Number
E-mail *
Website to be listed with your profile
Photo (headshot) for conference website
TALK 1
Title of Talk 1 *
Time Requested

: Hour Minutes AM/PM Option
Talk Description *
3 Main Bullet Points of Talk
Track *

Pesticide Applicator Certification Landscape Design Lawn & Landscape Maintenance Green Industry Business & Technology Water Management Sports Fields Golf
Talk 2
Title of Talk 2
Time Requested

: Hour Minutes AM/PM Option
Talk Description
3 Main Bullet Points of Talk
Track

Pesticide Applicator Certification Landscape Design Lawn & Landscape Maintenance Green Industry Business & Technology Water Management Sports Fields Golf
Talk 3
Title of Talk 3
Time Requested

: Hour Minutes AM/PM Option
Talk description
3 Main Bullet Points of Talk
Track

Pesticide Applicator Certification Landscape Design Lawn & Landscape Maintenance Green Industry Business & Technology Water Management Sports Fields Golf
Presentation Details
AV Equipment:

The following equipment will be provided for all speakers: laptop, LCD projector, screen, podium, and wireless microphone. If you need any additional equipment, please list your request below:
Additional AV Equipment Needed?
Presentation Details

All presentations will be shared with attendees on the MoGIC website after the conference. All speakers are asked to send a powerpoint, pdf, handout, or outline to Trish at info@mogic.org by the day after the conference.

If you need handouts printed, please provide those by Nov 15, 2022 to info@mogic.org.
Travel Information
Is Hotel Needed for the night before the conference? *

No Yes - night of November 29th (the night before conference)
If you are driving to St Charles for the conference and would like to request reimbursement, please fill in the estimated number of miles below.

Commercial speakers will not be reimbursed for travel expenses.
Mileage Reimbursement (# of miles)
Submission
Which MoGIC board member asked you to speak? Who is your MoGIC contact?
We greatly appreciate your participation as a speaker. If you have any questions or concerns, please email info@mogic.org.

Regards,

The Missouri Green Industry Conference Committee
Should be Empty:

MoGIC Speaker Agreement (2022)

Speaker Information

TALK 1

Talk 2

Talk 3

Presentation Details

Travel Information

Submission