MEDA Conference Speakers – Fall Conf

MEDA Speaker Detail Request Form - Fall 2024

Request of Information for Speakers

Thank you for agreeing to speak at the upcoming MEDA Conference. Please complete the information below on how you would like to be listed on the agenda and website.

About You

Speaker Name(Required)
First Name to be placed on name tag:
Your Email Address(Required)
Address(Required)
Max. file size: 50 MB.

For planning purposes, will you...

Eat breakfast at the conference?(Required)
Eat lunch at the conference?(Required)
Any dietary restrictions?(Required)

Contact Information for Assistant or additional person to be copied on communication:

Name