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Technology Tuesday Webinar Series Application Form To better help match your organization to FIATECH webinar topics; please provide us with the following information: Name: Title: Address: Phone:

Organization: E­Mail:

Type of organization (circle): Owner/Operator EPC/AEC Supplier Academic Research Institute Other:___________ Proposed Webinar Title: ______________________________________________________________ Proposed Webinar Abstract:

Proposed Presenter:__________________________________________________________________ Proposed Presenter Email: _____________________________________________________

** If accepted, an email will be sent to each presenter with a unique login URL and phone number. These will be required for all presenters to log into GoToWebinar, which is the webinar system FIATECH uses. Please keep this email with login information!

Proposed Presenter Bio:

Proposed Co­presenter (solution providers are strongly encouraged to present with a client): ____________________________________________________________________________________ Proposed Co­Presenter Email: ___________________________________________________ Proposed Co­Presenter Bio:

Dates available: Mar __10 __17 __24 __31 Apr __14 __21 __28 May __5 __12 __19 __26 Jun __2 __9 __16 __23 __30 Jul __7 __14 __21 __28

Aug __4 __11 __18 __25 Sept __1 __8 __15 __22 __29 Oct __6 __13 __20 __27 Nov __3 __10 __17 __24 Dec __1 __8 __15 __22

Note that all presentations will be 60 minutes and must be business and technology oriented, not sales or marketing oriented. Speakers who are selected will need to participate in a practice session with FIATECH staff before the actual webinar, which should take 10­15 minutes. We also request a copy of your presentation be provided following the webinar that we can post on our web site for download. Some webinars may also be recorded and produced as a FIATECH podcast. Thank you for your interest in FIATECH’s Technology Tuesday Webinar Series and we will notify you shortly of our selection. Email to Nicole Testa Boston at ntboston@fiatech.org.