Application Form To deliver a seminar, Workshop, Concert or General Session If you would like to impart any seminar, workshop, concert or general session at Expolit 2015. Please complete this form and read our terms and conditions carefully. This will enable both, you and us, to assess your potential contribution to our program and speed up the process of confirming your participation. All applications must be received before January 30, 2015. Please note that the speaker, artist or representative must be an exhibitor. Please complete this application form clearly in BLOCK LETTERS 1. Contact Information 3. Proposed topic or program: Full name: Title: Company: Address: Please provide information about the proposed presentation you would like to deliver. You may send an outline on a separated sheet of paper. Include the names of performers, if applies. Please send any supporting items such as books, video, CDs, etc, along with application. Tel: Fax: Email: Are you an exhibitor at Expolit 2015: Topic or title: Y N Content/program: Please provide the key points 2. Your availability Please indicate the date you will be available to impart your workshop, seminar or General Session. Dates Available Dates Workshop or Seminar General Session Concert Thursday, April 30 Morning Afternoon Evening Evening Midnight Midnight Friday, May 1 Morning Afternoon Evening Evening Midnight Midnight Saturday, May 2 Morning Afternoon Evening Evening Midnight Midnight Sunday, May 3 N/A Afternoon Evening Evening Midnight Midnight A.M. Will be scheduled between 10:30 A.M to 1:30 P.M. P.M. Will be scheduled between 3:00 P.M. 6:00 P.M. Fees and times: Workshops: No charge (Must be an exhibitor) Speaker for General Session: 7:00 PM (40 Min) • Fee: $1500 Concert for General Session 8:00-9:00 PM (60 Min) • Fee: $4750 Midnight Concert: 10:30 PM – 12:00 (1:30 Min) • Fee $4500 Promo CD 6000 give-away (One song in CD and General Session) • Fee $950 Target Audience: Please return the completed application forms and supporting items to: Mayra De Moya [email protected], Exhibitor’s Coordinator 8167 NW 84 Street • Miami, FL 33166 • Tel 305-503-1191 Fax. 305-717-6886
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