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
Amanda      309-762-2854 (CST)
Rose            714-774-4171 (PST)