2023 Annual Meeting Faculty Speaker Registration

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2023 Annual Meeting Faculty Speaker…

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.

STEP 1: 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 admin@oeisociety.org.

STEP 2: PREPARE YOUR PRESENTATION FOR UPLOAD

NOTE: 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.

Download a correctly formatted PowerPoint presentation template now:

Once you have completed your presentation, you may email the .pptx file to julie@oeisregistry.com.

STEP 3: COMPLETE THE SPEAKER REGISTRATION FORM

"*" indicates required fields

FREE FACULTY/SPEAKER ATTENDEE REGISTRATION

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

Phone:*

Upload your Curriculum Vitae:

Max. file size: 256 MB.

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

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

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Upload your photo:

Accepted file types: jpg, png, tif, Max. file size: 256 MB.

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

Unique ID

Name

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