ISCTM 2010 Autumn Conference - Speaker Online Confirmation and Agreement

Email Address: *

Last Name: *

First Name: *

Degree(s) or Designation(s): *

Phone:

Assistant's Name:

Assistant's Email:

Release Authorization Request: To improve the quality of education provided to its members, ISCTM posts slide presentations on the ISCTM website. ISCTM may also wish to video record sessions. ISCTM will provide this information to its members only through the password protected Member Only area of the society’s website.

Your cooperation in providing your consent to post the slide presentations on the website and/or be recorded will be greatly appreciated by all ISCTM members.

Release Authorization:

Yes, ISCTM may include specific presentation materials that I designate on the ISCTM website, for Member only viewing.

I release the video recordings of my presentation for posting only to the ISCTM website-member only section.

No, ISCTM may not include any of my presentation materials on its website.

I do not release video recordings of my presentation.

Reimbursement Policy Acknowledgement: *

I have reviewed and understand the ISCTM Speaker Reimbursement Policy.

Click Here for the ISCTM Speaker Reimbursment Policy

Session in Which Presentation Appears: *

Math question: * 3 + 5 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.