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Cosmology, Metaphysics and Consciousness
Spirituality, Mysticism and Religion
Psychology and Personal Development Strategies
Therapies for Emotional Well-Being
Sociology and New Paradigm Society
Alternative Science and History
Physical Health and Healing
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RVML Tuesday Night Presentation Proposal Application (please fill out all items that apply):
Presenter Instructions
>>> Presentation Form
Primary Presenter's First Name:
Primary Presenter's Last Name:
Proposed Presentation Title (50 characters maximum) :
Proposed Presentation Subtitle (50 characters maximum) :
For the Descriptions below, you can omit what, where, when, contact phone number and/or web address, and focus on the content of your presentation, since you will enter these other details on other pages, and the web calendar entries will show all together.
Brief Description
of your presentation (30 words maximum): Here's a
sample brief description
.
Detailed Description
of your presentation (300 words maximum): Here's a
sample detailed description
.
Suggested Presentation Category: (
Here is a list of detailed category descriptions.
)
Cosmology, Metaphysics and Consciousness
Spirituality, Mysticism and Religion
Psychology and Personal Development Strategies
Therapies for Emotional Well-Being
Sociology and New Paradigm Society
Alternative Science and History
Physical Health and Healing
Presenter's Academic/Professional or other Title:
Presenter's Website 1 (URL):
Presenter's Website 2 (URL):
Presenter's Brief Biography (500 words maximum): Here's a
sample bio
.
We will (by default) link to your website home page (or other page you specify) on the RVML website. Our intent for doing this is to limit the exposure of your email address (and/or phone number and/or postal address) to spambot harvesting. If you would like to have your email address, phone number and/or postal address listed on our website, please check the appropriate boxes below.
Presenter's Email 1:
Check here
to have your email address 1 made PUBLIC (published on RVML's website.)
Presenter's Email 2:
Check here
to have your email address 2 made PUBLIC (published on RVML's website.)
Presenter's Phone 1:
-
-
x
Type:
cell
home
work
pager
fax
other
Check here
to have your phone number 1 made PUBLIC (published on RVML's website.)
Presenter's Phone 2:
-
-
x
Type:
cell
home
work
pager
fax
other
Check here
to have your phone number 2 made PUBLIC (published on RVML's website.)
Presenter's Address Line 1:
Presenter's Address Line 2:
Presenter's Postal Code/Zip:
Presenter's City:
Presenter's Postal State/Province:
Presenter's Country:
United States
Abkhazia
Afghanistan
Akrotiri and Dhekelia
Aland
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Rep.
Chad
Chile
China
Christmas Island
Cocos Keeling
Colombia
Comoros
Congo, Dem. Rep. of
Congo, Rep. of
Cook Islands
Costa Rica
CÙte d'Ivoire
Croatia
Cuba
Cyprus
Czech Rep.
Denmark
Djibouti
Dominica
Dominican Rep.
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Grenadines
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kirbati
Korea, Dem. Rep. of
Korea, Rep. of
Kosovo
Kuwait
Kyrgyzstan
Laos Dem. Rep.
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northen Cyprus
Northen Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Reunion
Romania
Russian Fed
Rwanda
Sahrawi Arab Dem. Rep.
Saint-Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles Isles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Transnistria
Trinidad and Tobago
Tunisia
Turkey
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, US
Wallis and Futuna Islands
Yemen
Yugoslavia
Zambia
Zimbabwe
Check here
to have the your postal address made PUBLIC (published on RVML's website.)
Presenter's Preferred Contact Method:
email 1
email 2
phone 1
phone 2
postal
Suggested
Tuesday
Presentation Date: Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
2008
2009
2010
2011
2012
Is there anything else we can help with, special needs, or topics not covered on the form?
Press 'Submit' to send the contents of this page... please complete all pages; thanks!
Note: In addition to this form, we also need:
1) your
signed contract
, and
2) a jpg photo for our website and other publicity. Please email a jpg file (color preferred; min 200x200 pixels; max 1000x1000 pixels) to:
presenting <at> RVML.org
:
THANKS!