Toronto International Microfinance Summit

Date: October 1 - 2, 2010
Location: Allstream Centre, Toronto

Co-Host Conference Participation Form
All proposals must be received by July 26, 2010.

Please complete the information below.

*Name of Organization
*Contact Person
*Address
*Telephone
*Email
Website

Please refer to "Breakout Sessions - Suggested Topics" in 2010 Toronto MF Conference and Gala - Conference Information (PDF) and indicate two topics in order of preference your organization would like to address for breakout sessions. Feel free to add other topics you think would be appropriate for our Conference.

For each topic, please provide the following information.

Topic #1

Title for Breakout Session
Format	Presentation Workshop Seminar Panel
Brief Description of Session for our Program (maximum 150 words)
Name of Presenter(s)/Panelist(s) and Position/Title
Technical Requirements
Length
Maximum Audience

Topic #2

Title for Breakout Session
Format	Presentation Workshop Seminar Panel
Brief Description of Session for our Program (maximum 150 words)
Name of Presenter(s)/Panelist(s) and Position/Title
Technical Requirements
Length
Maximum Audience

Topic #3 (optional)

Title for Breakout Session
Format	Presentation Workshop Seminar Panel
Brief Description of Session for our Program (maximum 150 words)
Name of Presenter(s)/Panelist(s) and Position/Title
Technical Requirements
Length
Maximum Audience

Topic #4 (optional)

Title for Breakout Session
Format	Presentation Workshop Seminar Panel
Brief Description of Session for our Program (maximum 150 words)
Name of Presenter(s)/Panelist(s) and Position/Title
Technical Requirements
Length
Maximum Audience

Upon receipt of your completed participation form, we will contact you to discuss your designated areas of interest for the Conference. At that time, any questions you may have will be addressed as well as the schedule for Saturday's events.

Thank you for your consideration of participating in our Conference and Gala. We appreciate your enthusiasm for, and commitment to, the world of microfinance.

Should you have any questions, please contact us by telephone at 416.927.7082 or by email at info@microfinanceconference.ca.

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