Please Run the Wizard
I preferred to be contacted by:
My office contact person:
Office phone number
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Please provide your name as it will appear in the program brochure. If applicable, please include professional title(s) and position(s)
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Upload your photo/video release form.
Complete your CME Speaker Disclosure Now
Upload your biography (not CV). Maximum word count of 300.
Upload your head shot to be used for meeting marketing.
Terms & Conditions
The Carnell Russ Foundation - Community Unity Festival
I agree to have my presentation submitted by Friday, September 6, 2019. If I do not feel I will be able to meet this deadline I will contact The Carnell Russ Foundation staff as soon as possible to coordinate late submission. I also understand that if I have not submitted my presentation by Friday, September 13, handouts for my topic/promotions) may not be provided to attendees.
I agree to the terms outlined above.
If I am unable to present, I will make a "best attempt" to find a comparable replacement and will notify The Carnell Russ Foundation immediately upon discovering a conflict with my presentation date or time.
I agree to the terms outlined here.
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