PREMIUM WORKSHOP

SPEAkER FORM

Please review the required information and complete the form in a single session.

This will ensure that all pertinent information remains in one file, which will be easy to forward to appropriate points of contact within the organization.
Please email any changes directly to:

Eric Williams
Director of Education
Office (405) 943-1047 | Cell (405) 537-7612
ewilliams@bedfords.com

SPEAKER INFORMATION

Market Area

Choose the Closest Bedford Camera Store

Name

First Name

Last Name

Phone

(###)

###

####

Website

http://

Facebook Profile or Page

Used for Social Media Tagging and Speaker Profile Page

http://

Instagram Profile

Used for Social Media Tagging and Speaker Profile Page

http://

Speaker Bio

Short Biography for Website

PREMIUM WORKSHOP INFORMATION

Cost per Attendee

If the cost includes travel or other amenities such as lunch, gear rental, local transportation, etc., please provide an explanation under "Additional Details" field

Maximum Attendees Allowed

Start / End - Date & Time

Format "MONTH-DAY-YEAR, TIME -- MONTH-DAY-YEAR, TIME"

Title of Workshop

Think Short, Sweet & Catchy

Short Description of Workshop

Think of a One Line Punch to Describe Your Workshop

Workshop Details

Include a detailed instruction syllabus. Provide as much information as needed to inform attendees of the schedule, expected learning points, and required gear needed.

Location of Workshop

City & State

Venue

Name of Location

Venue Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Additional Details or Notes

Add anything you like that wasn't covered above