IPC Midwest Conference and Exhibition 2011
Online Form for Professional Development Courses Only


All fields marked with an * are mandatory.

 
*Salutation  
*Last Name  
*First Name  
Title
*Company  
*Address  
*City  
*State  
*Postal Code  
*Country  
*Phone  
Fax
Cell Phone
*E-mail
*Brief Biography (used for your introduction prior to presenting)
*Teach a half-day or full-day course
 
*Course title  
*Course Description (not to exceed 150 words)  
What You Will Learn (Bullet the topics that will be covered in your course not, to exceed 25 words)  
Who Will Benefit (The audience this course would best suit, not to exceed 25 words)  
Please include any additional information in this block; i.e. Name, phone, e-mail of your marketing agent or alternate contact you would prefer us to use.  
I am not interested in presenting but please send me attendee information.
 
Professional Development Due Dates
Proposals due: April 14, 2009
Acceptance by: April 22, 2009
Workbooks due: August 7, 2009
   
     
 

If you do not receive a confirmation e-mail from the IPC Professional Development department  within 2 business days, please e-mail them at ProfessionalDevelopmentCoordinator@ipc.org