Company Name:
Note:  Contact information will
be used for questions.
Type of company:
(Utility, Vendor or Other.
If Other, explain)
Contact Name:
Your email Address:
Your Phone Number:
1.  Provide title of your presentation in 12 words or less:
2.  Provide 3-4 descriptive key items in 20 words or less that would best explain what information and knowledge you wish to
share with the audience
3.  Provide a clear and concise 150 word description of your presentation
4.  Provide amount of time you believe you will need for your presentation
5.  Speaker information
2.  Speaker Name
1.  Speaker  Name
Title:
Title:
Phone:
Phone:
email:
email:
Note:  All speakers are required to be registered to attend the Utility Payment Conference.  
Presentations should not  be proprietary.  It is our policy to accept non-commercial
presentations.  No sales pitches or company promotions are allowed.
My/Our abstract submission form indicates I/We have read all of the information provided
above and within the form and accept the terms as indicated.  
www.paymentconference.com
Utility Payment Conference