You must have JavaScript enabled to use this form. I am Applying as Presenter - Speaker Vendor / Exhibitor Demonstration Product / Energy Healing Volunteer Organizational Team Sponsor I would like to Advertise in the Event Brochure I would like to put marketing material in the Convention Bags Not Sure but keep me in the the Loop about this Event Please Call Me Applicant Information Name Company Name Address Phone Mobile Phone (or Number to contact you during the Event) Email Website(s) Your Facebook Your Twitter What will be the best way to communicate to you during the weekend? Text Cell Phone Email Main Phone Cell Phone Other Do you have an assistant? - None -YesNo Assistant Information Assistant's Full Name Assistant Telephone Assistant Email Presenter Proposal Workshop or Presentation Title Your Bio Please put in paragraph form. (4-8 Sentences) Summary of Your Presentation Please put in paragraph form. (4-10 Sentences) Timeslot Preference Friday Evening Saturday Morning Saturday Afternoon Sunday Morning Sunday Afternoon Level Beginner Intermediate Advanced Special Reference Reference Name Reference Phone Reference Email Presenter Tables I would like a table in the exibit area which I will have manned Yes No I would like to leave my brochures & Information displayed with other speakers Yes No I would like to buy additional table space in the exhibit area Yes No I would like to include a gift, flyer, business card in the Attendee Bags Yes No Please complete Section 3: Vendor Application to provide information on your products. Vendor Application Tables Requested Whole Symposium Fri-Sun Saturday Sunday Products (Description of what you are Selling) Additional Vendor Information Volunteer Availability Friday Afternoon Evening Saturday Morning Afternoon Evening Sunday Morning Afternoon Evening Marketing Ideas Letting Others Know About The Event Please E-mail me a copy of the Event Flyer so I can print if off for distribution. Please send me the Event Flyer via mail for distribution. I have a Website that I will post up Event Information. I have some ideas on where you can post Convention Information. Please send me copy and pictures that I can post up on my Social Media Network. Please send me a template email that I can send out to my list about the convention. I would be interested in doing a 10 minute phone interview that could be recorded for online listening. Please forward me the link for Event Marketing Material. Please contact me. I would like some help with my marketing efforts. Comments CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.