53rd Annual CME Meeting

May 30 - June 1, 2008

The Cloister | Sea Island, Georgia

SPEAKER FORMS

Contact Info, Bio, Itinerary | Educational Objectives | Presentation Requirements | Disclosure

Presentation Requirements

Speaker Name *

Email Address *

Required entries with every submission*

AUDIO VISUAL REQUIREMENTS - I will need the following equipment for my presentation(s):

LCD Projector/Wireless Remote/Laser Pointer

One 35mm slide projector

Two 35mm slide projectors

Video Player - 1/2" tape

Video Player - 3/4" tape

Overhead Projector

Whiteboard and markers, colors:

Flip chart and markers, colors:

Other AV needed:

I require only voice amplification OR  my presentation(s) will include sound beyond my oration.

I will be presenting via Microsoft Power Point and have NO integrated video in my presentation(s) (a laptop will be provided)

I will be presenting via Apple Keynote or other software (speaker must provide laptop to run onsite)

I have integrated video into my presentation file (speaker must provide laptop to run onsite)

FINAL PRESENTATION

IMPORTANT: As you are preparing your final presentation(s), in accordance with accreditation requirements, be sure to include a slide stating your financial disclosures, placed just after the title slide.

If you are using Microsoft Power Point and your presentation has NO integrated video, please mail us a copy of your final presentation(s) on CD ahead of the meeting.  Allowing the AV technician to have the presentations pre-loaded on our laptop ensures fewer delays and the meeting running on time.

I will mail a CD of my final presentation(s) by MAY 15 to GSD - 6134 Poplar Bluff Circle, Suite 101, Norcross, GA  30092

I will email my presentation(s) by MAY 15 to maryann@theassociationcompany.com

HANDOUTS

It is highly encouraged that you supplement your presentation slides with supporting documents, articles, research results, etc.  In lieu of passing out printed handouts during the meeting, we will be mailing CDs with PDFs of the presentations and any additionally provided handouts to all interested attendees after the meeting. 

YES, I will provide handouts and understand that they will be given to attendees via CD.  Please read the following disclaimer and "sign" your name to agree with the statements.

The undersigned Faculty (the “Undersigned”) agrees to:

1.  Grant to the GSD a nonexclusive, irrevocable worldwide license to reproduce, make derivative works, publish, distribute, and/or sell the recording, transcript, and/or related materials of my presentation. This license does not prohibit the Undersigned from using this presentation in the future for his/her own professional or personal work.

2.  Warrant and represent that, to the best of Undersigned’s knowledge, nothing in the presentation violates the personal rights of others (including, without limitation, any copyright or privacy rights), is factual and contains nothing libelous or otherwise unlawful.

3.  Warrant and represent that the presentation is the Undersigned’s own original work, that Undersigned has the   authority to enter into this agreement, and the Undersigned is the sole copyright holder or that has attained all necessary licenses from any persons or organizations whose material is included or used in the presentation.

4.  Indemnify and hold harmless GSD from any claims for damages, costs or expenses arising from claims of copyright infringement resulting from the publication, sale, dissemination or distribution of any materials submitted and/or presented by the undersigned, either orally or in writing. The undersigned further agrees to indemnify GSD against any liability from any statements, oral or written, made by the Undersigned during or after this presentation.

Entering your name in the following space acts as my signature and agreement to the above statement:

Select one option below:

I will mail a CD of my handouts to GSD - 6134 Poplar Bluff Circle, Suite 101, Norcross, GA  30092.

I will email my handouts to maryann@theassociationcompany.com

Please acquire a copy of my final presentation from me at the meeting to use as my handout.

NO, I will not be providing handouts for the CD.