Thank you for agreeing to present at the 2026 Cornea and Eye Banking Forum. Please complete the form below by August 28. "*" indicates required fields Δ PhoneThis field is for validation purposes and should be left unchanged.Speaker InformationPlease list your information as it should appear in the mobile app and all conference materials. Name* First Last Designation (MD, PhD, CEBT, etc)Organization/ Institution/ CompanyEmail* Cell Phone NumberI have been accepted for* An oral presentation A printed poster Presentation Title*Presentation Number*Please include the presentation number from your acceptance email. Headshot*Please upload a photo of yourself to be used in meeting materials. Drop files here or Select files Accepted file types: jpg, gif, png, Max. file size: 25 MB. Presenter Logistics and AgreementOral Speaker Logistics Confirmation*As a presenter, I confirm each of the following: • I will submit my completed slide deck by 11:59 p.m. Eastern on Wednesday, September 23, 2026. • I will include a financial disclosure slide immediately following my title slide, listing every financial relationship I have had with a commercial company within the past 24 months — naming the company and the nature of the relationship — or stating that I have no financial interest to disclose. I understand my disclosures will be reviewed prior to the Forum and that unresolved conflicts of interest may disqualify my presentation from credit. • I will keep my presentation within the time allotted to me, including any question-and-answer period. • I understand that I am responsible for my own Forum registration and travel expenses. • If I become unable to present, I will notify EBAA as soon as possible so that alternative arrangements can be made. I confirm each of the items above.Poster Presenter Logistics Confirmation*• I will submit a PDF of my completed poster by 11:59 p.m. Eastern on Wednesday, September 23, 2026. I understand this PDF will be made available to attendees through the meeting app. • I will include a financial disclosure statement on my poster and in the PDF I submit, listing every financial relationship each author has had with a commercial company within the past 24 months — naming the company and the nature of the relationship — or stating that the authors have no financial interest to disclose. I understand my disclosures will be reviewed prior to the Forum and that unresolved conflicts of interest may disqualify my presentation from credit. • I will be present at my poster board during the poster session on Friday, October 9, 2026, from 3:15 to 3:50 p.m. • I am responsible for printing and transporting my own poster, and I understand EBAA does not print posters or receive them on site. • I understand that I am responsible for my own Forum registration and travel expenses. • If I become unable to present, I will notify EBAA as soon as possible so that alternative arrangements can be made. I confirm each of the items above.Oral Presenter Agreement*As a presenter at the 2026 Cornea and Eye Banking Forum (the “Forum”), presented by the Eye Bank Association of America (“EBAA”) and the Cornea Society, I agree to each of the following. In this agreement, “Presentation” means my oral presentation at the Forum together with the slides, handouts, and any other materials I prepare or deliver in connection with it. 1. I will include only material and content that I own or have permission to use, and I will cite material drawn from outside sources. I represent that my Presentation does not infringe the copyright, trademark, or other rights of any third party. 2. Any patient images, case details, or other patient information in my Presentation are de-identified in accordance with HIPAA, or are used with the patient’s written authorization. 3. My Presentation will be free of commercial bias for or against any product, service, or company. I will refer to products by generic name wherever possible, and any recommendations I make will be based on the best available evidence. 4. I grant EBAA and the Cornea Society a non-exclusive, worldwide, royalty-free, perpetual license to record, reproduce, edit, transcribe, broadcast, display, and distribute my Presentation, in whole or in part, and to sell it or offer it at no charge, at EBAA’s and the Cornea Society’s discretion, through their own channels or those of their partners, on any EBAA or Cornea Society website and in any and all media now existing or hereafter developed, throughout the world. 5. I grant EBAA and the Cornea Society the right to use my name, voice, image, and likeness, along with my Presentation title, Presentation description, and biographical information, in publicity, promotion, and advertising in connection with the Forum and my Presentation. I have read and agree to all of the terms above, and I accept the invitation to give an oral presentation at the 2026 Cornea and Eye Banking Forum on Friday, October 9, 2026.Poster Presenter Agreement*As a presenter at the 2026 Cornea and Eye Banking Forum (the “Forum”), presented by the Eye Bank Association of America (“EBAA”) and the Cornea Society, I agree to each of the following. In this agreement, “Presentation” means my poster, the PDF of that poster, and any other materials I prepare or deliver in connection with it. 1. I will include only material and content that I own or have permission to use, and I will cite material drawn from outside sources. I represent that my Presentation does not infringe the copyright, trademark, or other rights of any third party. 2. Any patient images, case details, or other patient information in my Presentation are de-identified in accordance with HIPAA, or are used with the patient’s written authorization. 3. My Presentation will be free of commercial bias for or against any product, service, or company. I will refer to products by generic name wherever possible, and any recommendations I make will be based on the best available evidence. 4. I grant EBAA and the Cornea Society a non-exclusive, worldwide, royalty-free, perpetual license to reproduce, edit, display, and distribute my Presentation, in whole or in part, and to sell it or offer it at no charge, at EBAA’s and the Cornea Society’s discretion, through their own channels or those of their partners, on any EBAA or Cornea Society website and in any and all media now existing or hereafter developed, throughout the world. 5. I grant EBAA and the Cornea Society the right to use my name, voice, image, and likeness, along with my Presentation title, Presentation description, and biographical information, in publicity, promotion, and advertising in connection with the Forum and my Presentation. I have read and agree to all of the terms above, and I accept the invitation to present a poster at the 2026 Cornea and Eye Banking Forum on Friday, October 9, 2026.Please type your full name to serve as your signature to this form.*CAPTCHA