A&G Ohio 2011 - March 18-20

A&G Ohio 2011 Panel Submission Form:

A&G is offering FREE badges to 2011 Panelists!
You must be approved for 2 hrs (+) worth of programing. You will recieve an email containing a code for your FREE 2012 or how to get your refund after the convention.

*Full Name
*Age
*City
*State
*Zip Code
*Email
*When would you like your panel?	Friday Morning Friday Afternoon Friday Night Friday Late-Nite Saturday Morning Saturday Afternoon Saturday Night Saturday Late-Nite Sunday Morning
*Panel Lenth (in minutes)
*Panel Title (120 Char MAX.)
*Panel Description
*Panel Details (including Equipment)
*Is your panel 18 and up?	Yes No
*Is there anything that you do not want your panel to conflict with?
*Extra Panelist