Thank you for agreeing to present at the 2022 Cornea and Eye Banking Forum. Please complete the form below by July 31. Speaker InformationPlease list your information as it should appear in the program and all conference materials. Name First Middle Initial Last Designation (MD, PhD, CEBT, etc) Email Cell Phone Number Organization/ Institution/ Company Presentation TitlePresentation Title HeadshotHeadshot- Please upload a photo of yourself to be used in meeting materials. Note: If you submitted one during abstract submission, you do not need to resubmit the photo. Drop files here or Select files Accepted file types: jpg, gif, png, Max. file size: 50 MB. Speaker AgreementSpeaker agreements*As a speaker for the Cornea and Eye Banking Forum, I agree to and grant EBAA and the Cornea Society the following: I agree to follow the COVID-19 protocols and will provide proof of full vaccination before the event. I will submit my presentation by the due date. A non-exclusive, world-wide, royalty-free license to record, broadcast, and sell or offer as complimentary my Presentation. The right to edit, transcribe, distribute and sell or offer as complimentary, at EBAA and Cornea Society's discretion, recordings and copies of my Presentation and Materials, in whole or in part, on any EBAA and Cornea Society websites or in any and all media now existing or hereafter developed by EBAA and Cornea Society throughout the world. The right to use Presenter’s name and voice, Presentation title, Presentation description and biographical information in publicity, promotion and advertising in connection with the Presentation and the Materials. I will only include material and content that I have permission to use and will cite material from outside sources.
