Webinar Request Form

To: GM APTLD

On behalf of APTLD Member (please indicate the Member’s name):___________________________________

I (name in full, position in the organization)_______________________________________________________

request a webinar on the following topic (please specify

the topic)_________________________________________________________________________________

to address the following issues (please specify the issues (if any)

1._______________________________________________________________________________________

2._______________________________________________________________________________________

3._______________________________________________________________________________________

etc.

For the audience (please specify the audience, e.g. technical, marketing, administrative, etc.) and the planned number of attendees ________________________________________________________________________________________

On (please specify the date and an alternate date) ________________________________________________

At (please specify the local time in your point of presence and an alternate time)____________________________________________________________________________________

Date:_________________________

Please submit this form to APTLD General Manager by email at: l.todorov@aptld.org

Revised 30.06.2016