ASSOCIATION OF BANKRUPTCY JUDICIAL ASSISTANTS

PRESENTER/SPEAKER INFORMATION AND NEEDS REQUESTS

Select Program *

Certified Bankruptcy Assistant Program

Professional Skills Seminar

Date(s) of Program +

CBA Subject

Time of program

Professional Skills Seminar Subject

Time of program

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Please check one of the boxes below. *

I have made my hotel reservations

I do not require hotel accommodations

If you have not made hotel reservations, please click the following link:

Arrival Date +

Departure Date +

I will require the following equipment (select all that applies)

Copies of Handout

I have attached documents for duplication

I will supply materials for conference

Upload Handout

Please list any other needs