Presenter Information

Please fill in the fields below. This will be used on the webinar event page, the archive page, and the promotional eblast.

Title: *

Title of the topic to be covered in the webinar

Name: *

Presenters name & credentials.

Description: *

Description of the topic to be covered in the webianr. Please keep to 1 paragraph.

Bio: *

Please send us your bio for posting on the website.

Photo: *

A recent clear headshot image for promo.

Powerpoint:

If you have it ready, please feel free to attach it here. PPT format.

Email: *

Phone :

Usually your personal cell phone #. It will be used for communications before and during webinars, particularly if any difficulties are encountered.

Agreement: *

Please click check box to confirm that you agree to the following: As a presenter/participant in this webinar, I hereby give Pro D Seminars / Medigogy the right and permission to use, reproduce, publish, transmit, distribute and display photographs and/or video in whole or in part, of me for use in Pro D Seminars / Medigogy promotional or educational materials which include catalogs, brochures, posters, magazines, articles, CD-ROM, DVD, electronic newsletters and the company website. I understand that the Internet is not a secure medium; that any material posted on the Internet is accessible to anyone with Internet access. I hereby waive any right to inspect or approve the video, finished photographs, images, or printed matter that may be used in conjunction therewith or to the eventual use that might be applied.

This is a required step.

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