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    Your LEGAL Name First Last (required)

    Your CRAFT or public facing Name

    Your Email (required)

    Phone number

    Mailing address (USPS)

    Have you already registered to attend the conference?
    Yes, I have registeredNo, I have not registered

    Have you presented at Changing Times, Changing Worlds previously?
    Yes, I have presented at CTCW beforeNo, I have not presented at CTCW before

    Web site, if you have one

    Proposals (max 4)

    Proposal 1:

    Name

    Length (60 min. or 90 min)
    60 Minutes90 Minutes

    Description

    Any requirements/prerequisites?

    If not accepted as one of our first choices, would you be able and willing to do this as a last minute addition?
    Yes, I can do it.No, I cannot.

    Proposal 2:

    Name

    Length (60 min. or 90 min)
    60 Minutes90 Minutes

    Description

    Any requirements/prerequisites?

    If not accepted as one of our first choices, would you be able and willing to do this as a last minute addition?
    Yes, I can do it.No, I cannot.

    Proposal 3:

    Name

    Length (60 min. or 90 min)
    60 Minutes90 Minutes

    Description

    Any requirements/prerequisites?

    If not accepted as one of our first choices, would you be able and willing to do this as a last minute addition?
    Yes, I can do it.No, I cannot.

    Proposal 4:

    Name

    Length (60 min. or 90 min)
    60 Minutes90 Minutes

    Description

    Any requirements/prerequisites?

    If not accepted as one of our first choices, would you be able and willing to do this as a last minute addition?
    Yes, I can do it.No, I cannot.

    Please indicate your availability to present (check as many as apply):

    All times shown are Eastern Stanard Time.

    Monday, Nov. 9, 6:30 - 10:30 PMTuesday, Nov 10. 6:30 - 10:30 PMWednesday, Nov. 11, 6:30 - 10:30 PMThursday, Nov. 12, 6:30 - 10:30 PMFriday Nov. 13 6:30 - 10:30 PMSaturday, Nov. 14, 9:00 AM to 10:30 PMSunday, Nov. 15,, 9:00 AM to 6:00 PM

    Are there any times you would prefer not to be scheduled? Please tell us:

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