NSA Convention'98 WORKSHOP PROPOSAL FORM If you would like to conduct a workshop or show 3-D video, please fill out this form Title or subject of your workshop or video as you want it to appear in the printed PROGRAM: _________________________________________________________ Description, equipment used, techniques, comments: ______________________________________________________________________________ ______________________________________________________________________________ Length of time needed including setup & take down: ___________________________ Equipment you will need NSA to provide: ______________________________________________________________________________ ______________________________________________________________________________ Equipment you plan to bring. Make and model of any video projectors: ______________________________________________________________________________ ______________________________________________________________________________ Distance from the screen needed for your projector(s): _______________________ Size of audience preferred _______ Size of room preferred _______________ Will you do your workshop or presentation ONE time only ____ or TWO times ____ Indicate days and times you prefer: Friday morning ____ afternoon ____ Saturday morning ____ afternoon ____ Sunday morning ____ afternoon ____ evening ____ Your name as you want it printed in the PROGRAM: _____________________________ Your mailing address: ________________________________________________________ Your phone at work: ______________________ home: _________________________ Your FAX #: ______________________ E-mail: ______________________________ Please mail to: Geoff Peters, NSA Workshop Coordinator 5255 Pumphrey Dr. Fairfax, VA 22032 E-mail: petersgj@erols.com Phone: 703-978-0965 PLEASE MAIL IN BEFORE 6/30/98 Return