First Name *

Last Name *

Phone *

Email *

City *

State *

Speaker Photo/Headshot *

Please upload a recent headshot for use in event speaker bio page and marketing materials

Speaker Bio *

Presentation Title *

Presentation Abstract *

Session Length (In Minutes)

Amount of time devoted to Ethics (Leave blank if none)

Handouts: Please list handouts you plan to distribute. *

Handouts

Please upload a handout document to be shared with attendees in the event packet. You may choose to share a copy of your PowerPoint presentation, an outline of your presentation, a reference article or other reference materials that support your topic. If you have any draft handout material that you can share at this time, it would be appreciated and will assist us in obtaining MCLE credit in multiple states.

PowerPoint

If you plan to use a PowerPoint presentation during your session and have a draft available, please upload it at this time. (PowerPoint use not required)

Required Presentation Equipment

I agree that AAM can use my name and likeness, including my headshot, in social media posts about the CLE seminar and other event marketing materials. *

Yes

Social Media Accounts

Future Seminars