Speakers' Corner

Event Speaker Form

2015 Annual Conference Speaker Form

Speaker Form-2015 Annual Conference
  1. Speaker Information
  2. First Name*
    Please enter your first name.
  3. Last Name*
    Please enter your last name!
  4. Title*
    Please enter your title!
  5. Badge Name
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  6. Local Business Entity
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  7. Address Line 1*
    Please enter your address!
  8. Address Line 2
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  9. City*
    Please enter your city!
  10. State*
    Please enter your state!
  11. Postal Code*
    Please enter your postal code!
  12. Phone Number*
    Please enter your phone number!
  13. Fax Number
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  14. E-mail Address*
    Please enter your e-mail address!
  15. Assistant or Administrator Name
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  16. Assistant/Admin E-mail Address
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  1. Registration Information
  2. Are you only speaking at the Conference?*

    Please tell us if you are only speaking at the seminar!
  3. (If you are ONLY attending for your presentation, there is no registration charge, but if you plan to attend more sessions, $350 will be billed to your account)
  4. Will you be applying for CLE Credits?*

    Please tell us if you will be applying for CLE credits!
  5. Which state do you need CLE credits for?
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  6. Bar number
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  7. Will you be bringing a guest? ($135)*

    Please tell us if you will be bringing a guest.
  8. Guest Name
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  1. Presentation Information
  2. Presentation Title:*
    Please tell us your presentation title!
  3. I will be using PowerPoint for my presentation (IMLA will provide laptop for presentation). We try to limit our AV needs due to the prohibitive costs. If you have any AV needs beyond a PowerPoint set up (e.g., audio, handheld microphones, etc.) you are asked to clear these with IMLA in advance.
  4. Select one for above statement*

    Please tell us if you will be using PowerPoint for your presentation.
  5. I have reviewed the Paper requirements / Speaker Guidelines reviewed including title page instruction
  6. Select one for above statement*

    Please tell us if you have reviewed the paper requirements/speaker guidelines including the title page instructions.
  7. Written Material & Recording Release
  8. By entering my name below, I grant to IMLA a non-exclusive worldwide license to reproduce and publish my paper and a recording of my presentation in whole or in part. I understand and agree that IMLA may edit and modify the paper or the recording (audio and/or visual) of my presentation. I also warrant that the paper and presentation is original, does not infringe the copyright of another and is not libelous or defamatory. If the paper, in whole or part, is not an original, or the copyright is currently owned by another, I warrant that I have obtained permission to authorize this release from the party owning the copy.
  9. Signature: *
    Please sign the material and recording release!
  10. Information on paper, presentation, and bio submission will be sent by IMLA.
  1. Mobile App
  2. Would you like to upload your information to the Mobile App?*

    Please tell us if you will be uploading your information to the Mobile App.
  3. If yes, instructions to upload your information on the App(includes bio and materials) will be sent to you. If no, you will need to fill out a Mobile App Upload form. The form will be supplied by IMLA.
  4. Enter the numbers below*
    Enter the numbers below
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Become A Speaker

Become A Speaker:

IMLA meetings/events provide a platform to share your legal expertise or recent case(s) that take into account a national audience. Each year IMLA provide a CALL FOR PROPOSALS Speakers/Experts, this call encourages professionals working on issues important to local government lawyers to submit proposals to present at IMLA’s largest CLE Events. Take this opportunity to share your successes and strategies with local government attorneys from all across the United States and Canada. For the CALL FOR PROPOSALS Speakers/Experts application form and information on the opportunities and benefits available, e-mail This email address is being protected from spambots. You need JavaScript enabled to view it.This email address is being protected from spambots. You need JavaScript enabled to view it.

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