2025 Annual Meeting Speaker Registration

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2025 Annual Meeting Faculty Registration

STEP 1: FACULTY REGISTRATION FORM

"*" indicates required fields

FACULTY ATTENDEE REGISTRATION

Photo/Video Consent*

OEIS plans to take photographs and video material at OEIS events and reproduce them in OEIS educational, news, or promotional material, whether in print, electronic, or other media, including websites. By participating in OEIS events, I grant OEIS the right to use my photograph for such purposes.

YES

May we share basic information about you with our industry colleagues?*

YES

NO

Please Opt-in or Opt-out to have your contact information shared with our OEIS industry colleagues. If opting IN, the only information provided to industry colleagues will be: Attendee's First Name, Last Name, City, State, and Country.

What is your membership status with OEIS?*

Prefix (Mr., Mrs, etc.):

Name:*

First Last

Name as it should appear on badge:*

Specialty:*

What is your specialty?*

Title:

Email:*

Enter Email Confirm Email

Practice Name:*

Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone:*

DO YOU REQUIRE HOTEL ACCOMMODATIONS?*

On behalf of our OEIS meeting attendees, a special group room rate of $239.00 per night (plus taxes) has been negotiated for your stay at Rosen Shingle Creek, Orlando. The Rosen Shingle Creek® Hotel, is a full service, luxury hotel with all the amenities you expect. The location is prime—on Universal Boulevard and 10 minutes from the Orlando International Airport.

Arrival Date*

Departure Date*

DO YOU PLAN TO ATTEND THE FACULTY APPRECIATION EVENT?*

Saturday, May 3 6:00 p.m. – 9:00 pm Rosen Shingle Resort - Timucua Patio - Cocktails/Food Stations - Access to the Golf Driving Range

Yes, I plan to attend

Yes, I plan to attend w/ a guest

No, I cannot attend

Upload your Curriculum Vitae:

Max. file size: 5 MB.

File formats allowed are .pdf, .doc, or .docx

Please provide a brief biography that we can include in the mobile application:

This field is hidden when viewing the form

Upload your photo:

Accepted file types: jpg, png, tif, Max. file size: 5 MB.

Please provide a photograph that we can include in the mobile application. File formats allowed are .jpg, .png, or .tif

This field is hidden when viewing the form

Unique ID

Name

This field is for validation purposes and should be left unchanged.

STEP 2: Presentation Submission

IMPORTANT: The week of March 10, you will receive an email from [email protected]. This email will be sent from our Audio Visual supplier and will include important instructions for uploading your presentation and using the Audience Response System.

ALL presentations must be 16:9 Widescreen. There will be issues projecting your presentation if it is not formatted in 16:9 Standard Format, and therefore we request that you use the PowerPoint presentation slide deck template provided below.

STEP 3: FOLLOW THE LINK TO FILL OUT THE DISCLOSURE FORM

As part of the speaker registration process ALL interested parties must complete the Disclosures Document.

Click here to submit your disclosure now.

IMPORTANT: You MUST submit your disclosure form above before proceeding to the speaker registration form below! For additional questions, please contact the OEIS executive office at [email protected].

NOTE about using Safari browser or mobile devices to register as an speaker: If you are trying to complete this form using Safari or on an Apple or Android mobile device the form may fail to submit your registration properly. This is a known problem with Safari Browser and some mobile devices. If you experience a problem, please register on a desktop/laptop computer and use either Firefox or Chrome web browsers. That should allow you to submit the form successfully.

If you continue to experience problems submitting your registration or encounter any other technical issues, please contact Technical Support.