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  GWA Webinar Speaker Questionnaire
 
Company Name:
Contact Name:
Title:
Topic/Title:
Summary:
Address 1:
Address 2:
City:
State:
Zip:
Country:
Email:
Will you be using a PowerPoint presentation?
Yes No
Would you like a post-presentation survey? *If yes, please note below any questions you would like included.
Yes No
Would you like to make a free recording of your presentation made available to Webinar participants? (Recordings include audio/visual of presentation.)
Yes No
Would you like to make your Power Point presentation? (Power
Point download is of slides only; no audio.)
Yes No
Notes: