Awards-Demonstrators Availability

Name*
First Last
Phone*
Alt Phone
Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Comfortable Demonstrating:*
Travel Distance*

How far are you willing to travel?
Class with Day of Shairing?
- Yes
- No
Would you like to hold classes in conjunction with demonstrating at Days of Sharing?
By clicking “I agree", I agree to use an electronic signature to demonstrate my acceptance of the above information. I understand and agree that an electronic signature and/or electronic acceptance is as legally binding as an ink signature to have the submitted printed in the ICES Newsletter and Webpage.
I Agree*
- Digital Signature
This form is not complete unless you click “submit" and will be used as your digital signature.
Once you have submitted the form you should receive a “Thank You” confirmation email. If you do not receive this “Thank You” email then your form DID NOT go through and you will need to RE-SUBMIT your form.
Please double check to make sure you:
Have filled in all the required information, (a RED message will appear if information is missing).
Este formulario no está completo a menos que haga clic en "enviar".
Una vez que haya enviado el formulario, debe recibir un correo electrónico de confirmación de "Gracias". Si no recibe este correo electrónico de "Agradecimiento", entonces su formulario NO se envió y tendrá que REITERAR su formulario.
Por favor, vuelva a verificar para asegurarse de que:
Ha completado toda la información requerida (aparecerá un mensaje ROJO si falta información).
Email
This field is for validation purposes and should be left unchanged.