ContractPresenter Agreement • August 29th, 2016
Contract Type FiledAugust 29th, 2016Presenter Agreement ND EMS Association EMS Rendezvous 1622 E. Interstate Ave. April 6-8, 2017 Bismarck, ND 58503 Bismarck, ND 58503 701-221-0567 Office 701-221-0693 Fax The North Dakota EMS Association and the below signed Presenter agree to the following: Legal Name: Date if Birth: Tax ID or SSN: Primary Phone (Required for IRS form 1099) Address: Email: City, State, Zip: Degrees/ Titles Work Affiliation Preferred method of contact: Phone Email Topics to be presented: NDEMSA will provide an LCD projector, projection screen, and voice amplification equipment as a matter of practice. In order to assure familiarity with presentation equipment, presenters are encouraged to provide their own laptop computer and wireless mouse device. Title Topic 1 Title Topic 2 Date(s) and Date(s) and Time(s) presented Time(s) presented Title Topic 3 Title Topic 4 Date(s) and Date(s) and Time(s) presented Time(s)