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Panel Submission Form

Your Name:



E-mail address:



Mailing address:



Phone Number:



Names and E-mails for all other panelists:





Name of your Panel:





Check here if you want your panel to be 18+ (By checking this box, you confirm that you have read all the regulations behind an 18+ panel, and agree to be bound to them) Yes
Write a description of your panel. This description will be used for the Program Book.

Please do not schedule me during the following events (check all that apply) Cosplay
AMV Contest
Game Show
Open. Ceremonies
Anime Improv
Other:


Preferred time for your panel: 1st Choice:
2nd Choice:
3rd Choice:




Check if you require:


Projector/Screen


DVD Player
If you have any other equipment or materials that you need (or something you want the convention to provide), please list those items here:

If you have any other comments or questions, please type them into this space.


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