Atlantic City Convention Center, Atlantic City, NJ
Speaker Data Form

The person coordinating the program (moderator, marketing director, committee chair, or other person) needs to complete one form for each NJBA approved program they are responsible for.  It is not necessary for each panelist to complete a form.

ABC 2009 Seminar Speaker Data Form
Please submit no later than December 14, 2008

Iris Cooper
E-mail  icooper @njba.org
Fax: 609-587-0044

Seminar Name:
Date: Time: Panel Number:
   
Moderator:
Name:
Company:
Address:
   
 
City: State: Zip:
Phone:
Fax:
E-mail:
   
Speaker 1:
Name:
Company:
Address:
   
  City: State: Zip:
Phone:
Fax:
E-mail:
   
Speaker 2:
Name:
Company:
Address:
   
  City: State: Zip:
Phone:
Fax:
E-mail:
   
Speaker 3:
Name:
Company:
Address:
   
  City: State: Zip:
Phone:
Fax:
E-mail:
   
Speaker 4:
Name:
Company:
Address:
   
  City: State: Zip:
Phone:
Fax:
E-mail:
Speaker 5:
Name:
Company:
Address:
   
  City: State: Zip:
Phone:
Fax:
E-mail: