ATA 49th Annual Conference
Speaker Audiovisual Request Form

Please complete this form by September 26, 2008 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.)
Session Code:	(example ATA-1)
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.)*
	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. Internet access is not available.
3. Onsite audiovisual requests are not accepted.
4. This form must be submitted by September 26, 2008.

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

If you prefer to mail or fax your audiovisual requests to ATA, please print the following form:
Speaker Audiovisual Request Form in PDF format.