2017 CIO PEER FORUM (TM) SPEAKER DETAILS FORM


Section 1: SPEAKER CONTACT INFORMATION
Please provide additional emergency contact information in case we need to reach you the day of the event.

Section 2: EVENT ATTENDANCE
Indicate which days and times you will be attending the conference.

Section 3: SPEAKER AUDIO VISUAL REQUIREMENTS
The CIO Peer Forum will provide standard audio visual equipment which includes a laptop computer, data projector, screen and microphone. Additional resources can be provided if indicated below.

Section 4: SPEAKER PERMISSION TO RECORD AND PUBLISH
Our members have frequently requested access to presentations/slide decks after the event to help them apply the concepts when they return to work. We are therefore seeking your permission to publish your presentation as follows. The CIO Association of Canada may publish my presentation (in non-alterable format) and/or video recording on the CIO Peer Forum or CIOCAN website following the event for conference attendees and association members exclusively.