Presenter Application

Your Name (required)

Your Email (required)

Your Address (required)

Your Organization (if applicable)

Website and/or social media links

Your Phone Number (required)

Program Title

Program Description

Program Length

Program Fee

Intended Audience

Audience minimum/maximum?

A/V, Set-up, or Supply requirements

Presenter Bio

Preferred Date

Have you previously presented a program at WMTL?
YesNo

Are you promoting a book?
YesNo

References

Publicity materials? (2mb max for each file; images or pdf)

I have read and agreed to the Programming Policy