Speaker Agreement for the 2019 APFM ADFP MCFM Annual Conference

First Name *

This will be listed on all conference materials.

Last Name *

This will be listed on all conference materials. Please include all designations.

Business Name *

Address *

Address

City

State/Province

Zip/Postal

Country

Phone *

Email *

Confirm Email *

Session Title(s) *

This will be listed on all conference materials.

Confirmation Email *

I have read the confirmation email and completed the information request above along with signed the bottom of the speaker agreement and release.

Presentation *

I will present the session(s) agreed upon and which are specified above.

Expenses *

I understand that any expenses incurred to participate in this conference are my responsibility, and I will not be reimbursed by APFM, ADFP, or MCFM. I will receive $75 off the cost of my conference registration. To register for the conference, please use the code: 2019SPEAKER (Register here.)

Registration *

I agree to register for the conference unless agreed to differently with the conference committee. (Register here.)

Notification *

I will notify Beth Goldfarb immediately in the event that I am unable to meet my commitment as a speaker and understand that APFM, ADFP, and MCFM are counting on me to present at the conference.

For questions, please contact Beth Goldfarb at [email protected] or 508-735-0961.

Materials *

I understand that materials not submitted by or before the set deadline may not be included in the conference materials.

Content *

I warrant and represent that, to the best of my knowledge, nothing in my presentation violates any proprietary or personal rights of others (including, without limitation, any copyright or privacy rights), is factually accurate, and contains nothing libelous or otherwise unlawful.

Deadlines *

I understand that deadlines are extremely important and agree to meet all of them without multiple reminders.

Please Calendar These Dates:

August 1, 2019: Signed Speaker Agreement Release Due, along with Headshot (high resolution), Short Bio (50 words), Presentation Outline, AV requests
September 1, 2019: Last Day to register for Early Bird Conference Rate
September 2, 2019: Regular Conference Rate registration opens
October 1, 2019: Last Day for guaranteed hotel room rate ($199) (Reserve Your Room); Presentation materials Due; Final Presentation Due
November 1, 2019: Last Day to register for the conference

I AGREE THAT THE ACADEMY OF PROFESSIONAL FAMILY MEDIATORS, ASSOCIATION OF DIVORCE FINANCIAL PLANNERS & MASSACHUSETTS COUNCIL ON FAMILY MEDIATION MAY:

Use of Name and Bio *

Use my name and biographical data in any promotional material (print or online) developed in connection with the APFM/ADFP/MCFM 2019 Next Generation of Innovation – Divorce Professional Partnering for Excellence Conference, November 7-9, 2019 in Boston, MA at the Aloft Hotel.

Use of Content *

Reproduce and republish in print, recorded media or online the presentation and remarks of my presentation. For example, video or audio files of my presentations may be provided to conferences attendees free or for a charge. Additionally, the video or audio recording may be given or sold after the conference.

Use of Content for Members *

Reproduce and republish in any form and in any media tables, charts or other written or visual material used by me as part of my presentation for the benefit of APFM/ADFP/MCFM members. In addition, any media tables, charges and other written or visual material from a presentation may include as part of a sale of the video or audio recording after the conference to the APFM/ADFP/MCFM membership.

Understanding *

I understand and agree to the above conditions.

Speaker A/V Equipment Requests

Please check additional preferences for your presentation as appropriate below:

Will you be using a PowerPoint presentation? *

Yes

No

OtherOther

If you are using slide deck software other than PowerPoint, please specify under "other".

Technology used for Presentation *

Mac

PC

OtherOther

Please note that if you are intending to use technology other than a Mac or PC, we cannot guarantee that we can support the technology.

For PowerPoint presentations, ALL speakers must provide their own laptop with their presentation on it and any necessary attachments to connect to the projector. We will provide a LCD Projector and screen for those presenters who have indicated they will use a PowerPoint presentation.

Handouts *

I have already provided handouts to be uploaded into the event guide.

I am uploading handouts in PDF format with this submission.

I will provide copies of my handouts at the session and will bring copies with me.

I will not be providing any handouts for my session.

Specify how many handouts *

Handouts Upload - Maximum of 5 files, 3MB max per file

Drop a file here or click to upload Choose File

Maximum upload size: 3MB

Indicate any special room set up request.

We will do what we can to accommodate special set-up requests but it will depend on room assignment and capacity.

Questions, please contact:

Beth Goldfarb
[email protected]
508-735-0961

Signature and Agreement Submission

Today's Date *

Signature *

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Speaker Agreement & Release and A/V Requirements

Please Calendar These Dates:

Speaker A/V Equipment Requests

Questions, please contact:

Signature and Agreement Submission

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