ARHC 2019 Speaker Agreement

  • NameAffiliation 
  • We kindly request that you submit, via email, one copy of your PowerPoint presentation no later than October 09, 2019. Presentations may be submitted to Kinsey at ksarian@coruralhealth.org.
    When returning your signed speaker agreement, please include an introduction statement that is no more than one page (ignore if you submitted a bio/introduction with a session proposal). Please call 720.248.2749 with questions. Your PowerPoint presentation will be uploaded to a CRHC laptop computer prior to the event. At the start of your session CRHC will enable the presentation on the laptop and your presentation will be displayed on screen. A microphone will be provided for presentations in the large ballrooms. Should your presentation require Internet, sound, or any other special features, please let us know immediately.
  • Questions?
    Call 720.248.2749
    email: ksarian@coruralhealth.org
    3033 S. Parker Rd., Ste. 606
    Aurora, CO 80014
    303.832.7493 • 800.851.6782
    www.coruralhealth.org

    Speaker Agreement Form

    1. I agree to present the session listed under Presentation Info of this Speaker Agreement Form.
    2. During my presentation, I will not engage in any promotional marketing or selling of products or services.
    3. I agree to notify CRHC’s staff immediately if an emergency should prevent me from meeting my obligation as a speaker. I understand that CRHC may cancel my presentation or the conference at any time without liability to me.
    4. I retain ownership of the text of my presentation and any handouts and visual aids distributed or displayed during my presentation and reserve the right to use my presentation in the future in my own professional or personal work. Notwithstanding the foregoing, I grant CRHC nonexclusive, royalty-free license, and irrevocable permission to audio record, transcribe, use, reproduce, make derivative works from, distribute or sell the recording, transcript, and/or handouts and materials related to my presentation. Such right and permission includes, but is not limited to, speaker’s name, recorded audio or video, photograph or likeness, biographical information, handouts, electronic slides or any material based upon or derived from the session.
    5. ANTITRUST STATEMENT: The information presented at this program is provided solely for the purpose of informing attendees of current issues important to the management of their practice. None of the information presented in this program is intended to encourage actions that would violate Federal or state antitrust law.
    6. I authorize CRHC to use my name, likeness, photograph, and biographical data in connection with the use and implementation of the conference and my presentation.
    7. I warrant and represent that that my presentation is factually accurate, and that nothing in my presentation violates any proprietary or personal rights of others (including, without limitation, any copyright, trademark, or privacy rights), or is libelous or otherwise unlawful. I agree to indemnify CRHC for any claims that may be asserted as a result of the violation of these representations and warranties.
    8. I understand I will be responsible for all of my own travel arrangements, but may submit receipts and a CRHC reimbursement form in order to be paid back for my travel expenses as listed under the additional fees/ compensation info of the Speaker Agreement Form.
    10. I will abide by Federal copyright laws when submitting material for reproduction. If I do not abide by Federal copyright laws, I am responsible for the reproduction of my material.
    11. Immediately upon receipt, I will sign and submit this Speaker Agreement Form to Kinsey Sarian, ksarian@coruralhealth.org or fax to 303.832.7496.
    12. I will submit one copy of my PowerPoint presentation no later than October 09 ,2019.
  • By signing CRHC’s Speaker Letter of Agreement, and based on mutual consideration, I hereby understand and agree to the above conditions as listed.
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