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ASSOCIATION OF BANKRUPTCY JUDICIAL ASSISTANTS
PRESENTER/SPEAKER INFORMATION AND NEEDS REQUESTS
CBA PROGRAM
CBA Subject
Time of program
Date(s) of Program
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CBA Subject
Time of program
Date(s) of Program
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PROFESSIONAL SKILLS PROGRAM
Professional Skills Seminar Subject
Time of program
Date(s) of Program
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Professional Skills Seminar Subject
Time of program
Date(s) of Program
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First Name
*
Last Name
*
Phone Number
*
Preferred Email Address
*
Company Name
*
Street Address
*
Address Line 2
City
*
State/Country/Region
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Guam
Puerto Rico
US Virgin Islands
Zip Code
*
Please check one.
*
I have made my hotel reservations
I do not require hotel accommodations
Please make your hotel reservations by September 20, 2024 using our dedicated group reservation website:
Book Your Room at Embassy Suites by Hilton Santa Ana
Arrival Date
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Departure Date
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ITEMS TO UPLOAD
1. Short biography and picture to include in our Conference Brochure
2. CBA Program - Materials to be used
Copies of Handout
I have attached documents for duplication
I will supply materials for conference
3. Professional Skills Seminar - Materials to be used
Copies of Handout
I have attached documents for duplication
I will supply materials for conference
4. Professional Skills Seminar - Topic Description
I will require the following equipment (select all that applies)
Overhead Projector
Podium
Flip Chart
Markers
Screen
Powercord(s)
PC
Please list any other needs
EVENT RSVP
CBA Speaker - Program Meet & Greet on Monday, October 14th @ 6:30 p.m. Location TBA.
*
Yes, I will attend
No, I will not attend
ABJA Professional Skills' Opening Reception on Wednesday, October 16th @ 6:00 p.m.
*
Yes, I will attend
No, I will not attend
ABJA Professional Skills' Closing Banquet on Friday, October 18th @ 6:30 p.m.
*
Yes, I will attend.
No, I will not attend.
Please choose an entrée for dinner. Appetizers, salad, dessert, and beverages (soda, juice, tropical iced tea, hot tea, and fresh brewed coffee) will be provided with the meal.
Roasted "Duke's Fish" (garlic, lemon & sweet basil glaze, seasonal vegetables, and herbed jasmine farro rice)
Wild Mushroom & Spinach Ravioli (vegan ravioli, coconut ginger vegetable broth, roasted sweet potatoes, and locally sourced vegetables)
Roasted Huli Chicken (all-natural chicken, garlic shoyu marinade, yukon gold mashed potatoes, and local vegetables)
Thank you. Your request will be sent to the appropriate staff member.