Chiisaicon Registration

HOME	ABOUT	CONTACT/LOCATION	REGISTRATION	PROGRAM	NEWS	PHOTOGRAPHY	SPONSORS

Chiisaicon Panel Submission Application

Please let us know if you are interested in presenting a panel. Our committee will be looking over the submissions and we will get back to you.

E-mail Address: *

First Name: *

Last Name: *

Phone Number: *

Website (optional):

Name of Panel: *

Nature of Panel: *

Panel Description: *

Name of Presenter(s): *

Preferred Host Day: *

18+ Panel?: *

Content of Panel(required only for 18+ panels):

Equipment needed for Panel: *

Panel Run-Time: *

Additonal Comments: *

* Required