Stereo Workshop Proposal Form
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National Stereoscopic
Association July 13-18, 2005
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Mail-In
Deadline: June 1, 2005
Have you presented a Workshop prior to this one? ___ When & Where? ________________
Workshop Title
______________________________________________________________
Workshop description (to be included in the printed
program)__________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Equipment required (will you bring it yourself – what
setup is required?):_________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Time length (all workshops are limited to a maximum
of 50 minutes) ____________________
Preferred workshop time
_______________________________________________________
Presenter’s
Name:____________________________________________________________
Address:____________________________________________________________________
City:
Country:____________________________________________________________________
Telephone (home):_______________________
(Business)___________________________
E-mail:_____________________________________________________________________
Photo emailed: -
Yes - No Biography emailed: -Yes -No
Return to:
Alan Lewis
E:mail: 3-d@sbcglobal.net
(the workshop form information may be e-mailed)
Contact Alan Lewis, the Workshop Chairperson for further information.