SPEAKER CONFIRMATION FORM - Captial Connections 2002 - CAJ Ottawa

Name: _____________________________________________________________

Address: __________________________________________________________

Phone:______________________(h) ________________________(w)

Fax:_____________________ Email:____________________

Panel______Workshop______ Keynote Speaker______Moderator______

(specify)__________________________________________________________

Special Requests (AV equipment, etc.): _____________________________

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Compensation Arrangements Made: (We CANNOT pay for journalists to speak, but
we can provide free registration and meals to workshop leaders and guest
speakers. We can pay a small speaking fee to non-journalists, depending on
the budget and fundraising goals. Panelists and moderators get free
registration, but must pay for their own meals.)
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Bios/photos received:___________________________________________________

Release form received:__________________________________________________

Registration form received: ____________________________________________

Confirmation Letter Sent (date and signature):__________________________

This form submitted by:

Name:_______________________________________________

Phone:_______________ Email:________________________

Send this form to:

<br>Algonquin College
<br>1385 Woodroffe Avenue, B224
<br>Ottawa, ON K2G 1V8
OR Fax to (613) 521-3904