Complete the form below and submit to Partners in Business.
Questions can be answered by calling Amy Sadler at (435) 797-2279 or toll-free (800) 472-9965.
*This form is not for seminar registration.

Please Complete The Following
Company Name:
Please use the exact name and company as you want it to appear in the brochure and seminar daybook.
City: State: ZIP:
Topic to speak on:
I will be speaking at the following seminar:
Most speakers arriving by air choose to have a student host, who has expressed interest in meeting presenters and has volunteered to provide ground transportation free of charge. The drive from Salt Lake City to Logan take s approximately 90 minutes.
Arrival Date (MM/DD/YY) 
Arrival Time am pm on Flight # 
Travel from Salt Lake City to Logan: (please check one)
Student host   Provide own transportation
Arrival Date in Logan (MM/DD/YY)
Arrival Time in Logan am pm
Departure Date (MM/DD/YY)
Departure Time am pm on Flight # 
Partners in Business will provide complimentary accommodations at the University Inn located on campus. We will make the arrangements after we receive this form. The phone number for the University Inn is 1-800-231-5634.
Yes, I would like to stay at the University Inn
Arrival Date (MM/DD/YY) 
Arrival Time am pm
No, I will make my own arrangements.
Partners in Business will provide dinner at a local restaurant during the seminar. This is a great chance for speakers to meet the other presenters and the Partners in Business staff.
Yes, I will be attending the following dinners:
Tuesday, Dinner Date at 6:30 p.m.
Wednesday, Dinner Date at 6:30 p.m.
No, I will not be attending any of the dinners.
Class Visits
If time and schedules permit, presenters may visit business classes or student groups.
Yes, I am interested in visiting classes on campus
No, I am not interested.
Audio-Visual (A/V) Equipment Needs
A screen, podium, and corded microphone will be automatically provided
Please check the items you need.
35mm Slide Projector with Remote Control
Transparency Projector
Wireless Microphone
Flip Chart
TV with VCR (VCR holds ½ inch tape)
Laptop Computer
Providing my own Model 
Please provide one for me with the following software installed: 
Release for Tape Recording and Duplication
Partners in Business makes available recordings of presentations to seminar attendees. If you do not wish to have your presentation recorded, please indicate.
Yes, I give my consent to have my presentation recorded and sold by the Partners in Business
No, I do not want my presentation recorded.
Speaker Information Release
Partners in Business normally keeps speaker information confidential. If you would prefer, we will make your contact information available to seminar attendees.
Yes, please include the following in the seminar daybook.
Address & Phone
Fax & E-mail
No, I would like my information to remain confidential.
If you have any questions or concerns, We would love to hear from you.

Partners in Business 
College of Business 
Utah State University 
3520 Old Main Hill 
Logan, UT 84322-3520 
Phone: (800) 472-9965 
FAX: (435) 797-3440 

Seminar Speaker Deadlines
In order for production deadlines to be met, we need the following seminar materials from you in our office by the the following deadlines.
By submitting this form, I agree to speak at the aforementioned conference on the date indicated. If unable to attend I will find someone to take my place as a speaker at the seminar and give PIB at least 60 days notice.