2027 SPONSORED Speaker Information Form

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Personal Information

Name(Required)

First Last

Credentials(Required)

Company/Affiliation(Required)

Who provided you with this link?(Required)

Email(Required)

Phone Number(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Who provided you with this link?(Required)

Conference Interest

Please select the conference(s) you are interested in providing information for.

Which conference(s) you are interested in for 2026?(Required)

Food Animal Conference

FVMA Annual Conference

Promoting Excellence Symposium (PES)

The Gulf Atlantic Veterinary Conference (TGAVC)

Please select all that apply.

Food Animal Conference Availability

Location: TBD

For the Food Animal Conference, I will be available on the following day(s):(Required)

Dates To Be Determined

Number of hours you would like to present:(Required)

1-4 CE Hours

5-8 CE Hours

9-12 CE Hours

12-16 CE Hours

Will you be flying or driving?

Driving

Flying

What city and state will you be traveling from?(Required)

FVMA/FAEP covers reimbursement for mileage at the current rate set by the U.S. government, or coach-level air transportation with seat assignment and one carry-on bag, whichever is less.

FVMA Annual Conference Availability & Travel

Location: Renaissance Orlando at SeaWorld, 6677 Sea Harbor Dr Orlando, FL 32821

For FVMA Annual Conference, I will be available on the following day(s):(Required)

Thursday, April 15, 2027

Friday, April 16, 2027

Saturday, April 17, 2027

Sunday, April 18, 2027

Number of hours you would like to present:(Required)

1-4 CE Hours

5-8 CE Hours

9-12 CE Hours

12-16 CE Hours

Will you be flying or driving?

Driving

Flying

What city and state will you be traveling from?(Required)

FVMA/FAEP covers reimbursement for mileage at the current rate set by the U.S. government, or coach-level air transportation with seat assignment and one carry-on bag, whichever is less.

Promoting Excellence Symposium (PES) Availability & Travel

Location: Naples Grande Beach Resort, 475 Seagate Dr, Naples, FL 34103

For PES, I will be available on the following day(s):(Required)

Thursday, September 30, 2027

Friday, October 01, 2027

Saturday, October 02, 2027

Sunday, October 03, 2027

Number of hours you would like to present:(Required)

1-4 CE Hours

5-8 CE Hours

9-12 CE Hours

12-16 CE Hours

Will you be flying or driving?

Driving

Flying

What city and state will you be traveling from?(Required)

FVMA/FAEP covers reimbursement for mileage at the current rate set by the U.S. government, or coach-level air transportation with seat assignment and one carry-on bag, whichever is less.

The Gulf Atlantic Veterinary Conference (TGAVC) Availability & Travel

Location: Marriott Resort Fort Lauderdale Harbor Beach Resort & Spa, 3030 Holiday Drive, Ft. Lauderdale, FL 33316

For TGAVC, I will be available on the following day(s):(Required)

Thursday, December 2, 2027

Friday, December 3, 2027

Saturday, December 4, 2027

Sunday, December 5, 2027

Number of hours you would like to present:(Required)

1-4 CE Hours

5-8 CE Hours

9-12 CE Hours

12-16 CE Hours

Will you be flying or driving?

Driving

Flying

What city and state will you be traveling from?(Required)

FVMA/FAEP covers reimbursement for mileage at the current rate set by the U.S. government, or coach-level air transportation with seat assignment and one carry-on bag, whichever is less.

Speaker Materials

Lab/Lecture Subject(s):(Required)

Example: Dentistry, Neurology, Practice Management, etc.

Please list potential sponsors for your Labs/Lectures:(Required)

Please write “none” if you don’t have any potential sponsors.

Intended Audience:(Required)

Veterinarians

Technicians

Team Members

Lecture topics, titles, and/or abstracts:(Required)

Please upload your lecture topics, titles, abstracts, and proceedings (if available):(Required)

Drop files here or

Accepted file types: doc, docx, pdf, png, jpg, Max. file size: 256 MB.

If assisting, please attach a document stating whose sessions/labs you are assisting with.

Please upload your headshot photo:(Required)

Accepted file types: jpg, png, Max. file size: 256 MB.

Please upload your narrative biography:(Required)

Accepted file types: doc, docx, pdf, png, jpg, Max. file size: 256 MB.

Please upload your curriculum vitae/resume:(Required)

Accepted file types: doc, docx, pdf, png, jpg, Max. file size: 256 MB.