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![]() 2002
Global Gaming Expo (G2E) Your Name: ______________________________ Phone: ______________________________ Title of Proposed Session: __________________________________________________________________
Suggested Length:
q1 hour
q 3 hours
q Other ________________________________ Suggested
Moderator / Conference Leader: _____________________________________________ Contact Information: Address:
_____________________________________________________ _____________________________________________________ Phone:
__________________ Fax: ____________________ E-mail: ___________________ Suggested Panelists: Name Contact
Information (Company, Address,
Phone, Fax, E-mail) _______________________ ________________________________________________________
________________________________________________________ ________________________________________________________
________________________________________________________ ________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________ Please describe the proposed
program, addressing primary objective or message while touching on format and
roles of other speakers if applicable: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Please
return this form to Mike Critser of G2E at FAX: 203-840-9827 Email:
mcritser@globalgamingexpo.com.
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