Section 1:   Lead Presenter & Workshop Coordinator Information

Primary Presenter

First Name:

Last Name:

Title:

Company:

Address:

City:

                 State:

Postal/Zip:

Phone:

                   Fax:

Email:

Section 2:  Lead Presenter Biography

Biography
This brief description should include dates/location/title/sponsoring organization of presentations given and other relevant information regarding your proposed topic.
 

Section 3:   Issue Category - PLEASE BE AWARE ATTENDEES WILL BE FROM OHIO, INDIANA & KENTUCKY

Corporate Case Studies on Sustainabiliy, Green Intiatives or Best Practices in Safety, Energy or Environmental Management

State-Specific (Ohio, Indiana or Kentucky) Air Rules, Permits & Compliance

State-Specific (Ohio, Indiana or Kentucky) Water Rules, Permits & Compliance includng SPCC & Storm Water  

Best Practices in Environmental Management

Best Practices in Safety Management

Best Practices in Energy Management

Sustainability, Green Initiatives, Going Green, Climate Change Efforts

Section 4:   Workshop Title & Topics

Workshop Title 

Workshop Topics in Listed as Bullet Points
 

Section 5:     Co-Presenters

Sessions are 75 minutes long and should consist of at least two speakers for a balanced presentation.   Each workshop must have a manufacturer and the manufacturer must be listed on this form for planning committee's consideration. 

Potential Co-Presenters

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