Midwest Manufacturing

CALL FOR SPEAKERS
2009 Conferences at Rosemont

SUBMISSION DEADLINE IS : February 20 , 2009

Preference will be given to session chairpersons/moderators(must develop and recruit speakers for a 2, 3 or 5hr session)
Vendors are encouraged to develop a panel of their customers.

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 or abstract of your presentation:

Length of Presentation and format:(check all that apply)
PANEL(2,3 or 5hrs):I will develop the session and recruit speakers, (list potential speakers and length of the panel below) 50min. Seminar Workshop (2hr.) Workshop(3hr.) 5hr. Tutorial I would like to be part of a panel I would like to moderate a panel developed by Canon
List potential additional speakers for your session or panel:

Your Qualifications to speak on this topic(BIO):

Notes, comments or additional information you think we may need to evaluate your proposal:

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 Green/Sustainable 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: