ATA 47th Annual Conference
Speaker Audiovisual Request Form

Please complete this form by September 22, 2006 to ensure a successful presentation. If you are giving more than one presentation, please complete a separate form for each. Also, if other speakers are involved in this presentation, include their audiovisual needs as well. Onsite requests are not accepted, so please make your request before the deadline.

ATA Membership No.: (If you are not an ATA Member, leave blank.)
Conference Code: (example ATA-1-247)
Speaker Name:
Speaker Email:
Presentation Title:

I do not require any audiovisual equipment
Overhead Projector, Markers, and Screen
LCD Projector (projects laptop screen) and Screen. Note: You must provide laptop.
35mm Slide Projector, Remote, and Screen
Flip Chart and Markers
Other special equipment needed (please specify):
Comments:

Notes:
1. If requesting an LCD Projector, you must provide your own laptop.
2. Onsite audiovisual requests are not accepted.
3. This form must be submitted by September 22, 2006.

If you have any questions, please email teresak@atanet.org


If you prefer to mail or fax your audiovisual requests to ATA, please print one of the following forms:

1. Speaker Audiovisual Request Form in MS Word format.
2. Speaker Audiovisual Request Form in PDF format.