The National Stereoscopic Association NSA Y2K CONVENTION WORKSHOP PROPOSAL FORM If you would like to conduct a workshop or show a 3-D video,please fill out this form. Title or subject of your workshop or video as you want it to appear in the printed PROGRAM ____________________________________________________________________________ Description, equipment used, techniques, comments: ________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Equipment you will need NSA to provide: _______________________________________________ ____________________________________________________________________________ Equipment you plan to bring. Make and model of any video projectors. ____________________________ _____________________________________________________________________________ Distance from the screen needed for your projector: _____________________________________________ Size of audience preferred________________ Size of room preferred______________________________ Will you do your workshop or presentation ONE time only________ or TWO times__________________ Indicate days and times you prefer: Friday Morning_________ afternoon____________ Saturday Morning_________ afternoon___________ Sunday Morning_________ afternoon___________ evening____________ Your name as you want it printed in the PROGRAM ___________________________________________ Your mailing address__________________________________________________________ Your phone at work_____________________________ Home___________________________________ FAX #_________________________________ e mail_________________________________________ Please mail before May 8, 2000 Please mail to: Bill Moll, NSA Workshop Coordinator 608 Rains Circle, Summerville, Georgia 30747 Tel: (404) 401-7899 Email WHMoll @aol.com