Speaker Agreement Confirmation


Speaker Confirmation_2021

Thank you for agreeing to be a part of our Member Engagement Program. Please complete the form below to confirm your participation. The sooner you can fill out the necessary information the better.
  • Presenter's Information

  • Biography & Photo

  • Please provide your biography in paragraph form.
  • Please provide a brief speaker introduction to be used when announcing you to our members. If you do not have one or do not wish to provide one, just type "none" in the text box.
  • Speaker Release Information

  • Cancellation Policy

    AIA Arkansas reserves the right to change or cancel any seminar, session or event associated with Convention. If a schedule change is deemed necessary, Speaker will be notified as soon as the decision is made. AIA Arkansas will make every attempt to replace the program as well as attempt to include Speaker participation in the conference. However, if a replacement program is not possible, AIA Arkansas is not liable for any fees or costs associated with the canceled event. If Speaker has incurred costs which AIA Arkansas has initially agreed to reimburse, Management will reimburse these expenses within 30 days of notice of cancellation. This reimbursement policy will only apply to those expenses in which AIA Arkansas has received receipts and invoices prior to cancellation
  • Date Format: MM slash DD slash YYYY