To submit your form for consideration to become a panelist:

2006 Panelist Registration Form

Download a Microsoft Word Version of the form and fill out & print

Or

Fill Out Form Below

For Mail in Applications include:

  • Full Completed Registration Form

  • A Bio, and headshot if available for webpage

 

Each panelist receives a listing in the conference directory, A Bag full of promotional items and a personal Mid-Atlantic Music Conference laminated badge.

Your badge guarantees full access to all panels, workshops, clinics, trade show, hospitality parties and showcase venues.

How did you hear about us?

CONTACT INFO

Primary Contact: (this will be the contact listed on the website)
First Name: Last Name:
Company: Title:
Address:
City: State:
Zip: Country:
Phone:

Phone2
can be fax
Email:

Homepage?:
(if available)

Information for our Website

Do you have a picture/ headshot?  Yes No

Do you have a bio? Yes No

Biographical Information

Paste Here if submitting online:

For additional info, we can be contacted here:

Midatlantic Music Conference
C/O - Wholeteam Enterprises, LLC
5588 Chamblee Dunwoody Road #110
Dunwoody, GA 30338
770-300-0175 / 888-755-0036

 

 

Contact Us | Register | Submit to Conference | Services | Forum | Links
Another Wholeteam Enterprises, LLC production
5588 Chamblee Dunwoody Road #110  Dunwoody, GA 30338