ACB: Speakers Corner Form

SPEAKER’S PROFILE

On behalf of America’s Community Bankers, we would like to thank you for accepting our invitation to participate as a speaker at our conference. So that we can finalize the details for your session and provide you with a proper badge and hotel reservation, please complete this Speaker’s Profile Form. Note that all fields in red must be completed in order for your profile to be successfully submitted.

Once you submit this form, please return to your original speaker letter for registration instructions. It is important to register for this conference if you have not done so already. A registration link has been provided to you in your speaker letter. If you have already registered for this conference, your speaker letter will indicate that we have received your registration and you do not have to register again.

At Which ACB Event Are You Speaking?

SPEAKER:
(Please fill out the information below as you would like it to appear in our program):

First Name
Last Name
Job Title
Organization
Address Line 1
Address Line 2
City
State
Zip
Country
Phone
Fax
Email
Company URL	(must include http:// )

BIOGRAPHICAL INFORMATION
Please note this short bio will be used to introduce you (upon ACB approval) at the beginning of your session and should be no more than 100 words.

TITLE OF THE SESSION AT WHICH YOU ARE SPEAKING
AUDIO VISUAL EQUIPMENT NEEDS
Does your presentation require audiovisual equipment? (Must select either yes or no)
YES, I have checked the equipment below that I will need
NO, I will NOT need audio visual equipment

LCD Data Projector for Computer Presentation (Please note that you must provide your own laptop for presentation, please indicate below): VGA Mac SVGA XGA
Make & Model:

Overhead Projector
35 mm Slide Projector w/Zoom Lens and
Video Cassette Player (includes TV monitor)
Flipchart Easel w/ Pad and Markers

Other (please indicate the equipment that you will need that’s not listed above)

I WILL SPEAK FROM:

The podium on stage (Note – ACB’s standard set-up provides a fixed microphone on the podium; a small table will be positioned next to the podium for a laptop)

The floor area near screen and stage (Note – ACB’s standard set-up provides a lavaliere microphone with a long cord; a small table will be positioned near the projector to hold a laptop or overheads (wireless lav mics must be approved by ACB))

WILL YOU BE HAVING HANDOUTS? (answer required)
YES
NO

Once you have completed all of the required fields, please click on the “Submit Form” button below and return to your speaker letter for registration instructions.



ACB appreciates your contribution in making this year’s conference a success.

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America’s Community Bankers
900 Nineteenth Street, NW, Suite 400,Washington, D.C. 20006
phone 202-857-3100 | fax 202-296-8716 | Contact Us
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America’s Community Bankers is the member-driven national trade association representing community banks that pursue progressive, entrepreneurial and service-oriented strategies to benefit their customers and communities. To learn more about ACB, visit www.AmericasCommunityBankers.com.