Midwest Manufacturing

CALL FOR SPEAKERS
2009 Conferences at Rosemont

SUBMISSION DEADLINE IS : February 15, 2009

Preference will be given to session chairpersons/moderators(must develop and recruit speakers for a 2, 3 or 5hr session)

Questions: contact michael.critser@cancom.com

Commercial presentations will not be considered.
Please submit your proposal below.

First Name:

Last Name:

Middle Initial:

Job Title:

Company/Organization:

Street Address:

Address (cont.)

City:

State/Province:

Zip/Postal Code:

Country:

Phone:

Mobile Phone number: (this will be used only if we need to contact you urgently and will be given to no one outside our organization)

Email:

Your Company's Web Address?:

Presentation Title:

Content:Please list, in BULLET form, what topics will be covered in your presentation

Target Audience:

100 to 200 word description of your presentation:

Length of Presentation and format:
50min. Seminar Workshop (2hr.) Workshop(3hr.) 5hr. Tutorial Chairperson (must develop session and recruit speakers, list potential speakers below)
List potential additional speakers for your session or panel:

Your Qualifications to speak on this topic(BIO):

Have you presented this topic elsewhere? If yes, where and when?

What is your relationship to the topic you are proposing?:
User Vendor Consultant Academic
Which TRACK you feel your presentation best fits?:
Industrial Automation Design Engineering Plant Engineering Enterprise IT Quality/Testing Assembly Technology Electronics Assembly/SMT Plastics Medical Design and Manufacturing Green Manufacturing
If you are submitting this proposal for someone other than yourself, or would like us to communicate through someone other than the person listed above, please include the following contact information:
Your name:

Your phone number:

Your email address:

Your company name: