2010 Workshop Presenter’s Form
If you want to do a workshop at the Gathering, fill out the following form and mail it to ALDHA no later than Sept. 1 to make sure it arrives in time for inclusion in the program.
Date_________________________________________
Name(s)_________________________________________________________________________
Street address____________________________________________________________________
City, State, and ZIP________________________________________________________________
Phone _________________________________________________________________________
E-mail ________________________________________________________________________
Title of presentation ____________________________________________________________
Approximate length ____________________________
Type of presentation (workshop; slide show; panel discussion) _____________________
Briefly describe how your presentation should be listed in the program:
What, if any, is desired day and time of presentation? (i.e., Saturday afternoon, Sunday morning, etc.)
________________________________________________________________
Mail it NO LATER THAN SEPT. 1, 2010, to
ALDHA
10 Benning St.
PMB 224
West Lebanon, NH 03784