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* 1. Name:

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* 2. Address:

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* 3. Contact Information Telephone, e-mail, website.

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* 4. Which Theme are you interested in talking to:

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* 5. Please describe the qualifications you possess that will draw people from all over Ontario to hear you speak to the topic(s) you have selected.

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* 6. Can you provide any links to papers, presentations or other published documentation that we could share with others in advance of the event to encourage interest?

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* 7. If you are not able to speak is there an alternate you would recommend?

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* 8. Would you be interested in sharing your expertise via and OTC webinar at some point in the future? In this way we can keep the discussion going and drive folks to your thinking!

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