Canadian Centre for Pollution Prevention

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Call for Speaker's Submission Form

Canadian Pollution Prevention Roundtable
Toronto, Ontario
June 3 - 4, 2010

Do you have an exciting P2 innovation, process or integration story you would like to share? If so, we invite you to submit an application to speak at one of the 2010 Canadian Pollution Prevention Roundtable sessions and share your success.

Deadline for submission: April 23, 2010 .

Speaker Notification: April 30, 2010.

A completed submission form must accompany your application. Please submit the following information. All fields are required.

	First Name:
	Last Name:
	Position:
	Company:
	Address:
	City:
	Province/State:
	Country:
	Postal Code / Zip:
	Phone:
	Email:

	Write a brief biography limited to 60 words:

Please specify where you consider your presentation best fits into our program:
		Shrinking the Environmental Footprint (e.g. carbon, energy, water-use, toxics, biodiversity impacts)
		Shrinking the Organizational Footprint (e.g. industry, SMEs, business parks, universities, schools)
		P2 and Sustainability (e.g. sustainable consumption; Canadian society and sustainability)
		SMEs and P2 (e.g. the business case for P2; case studies of P2 leaders; P2 resources and support for SMEs; Tools for the Tool Box)
		Innovative Source Reduction Technologies (e.g. adoption; metrics & measurement; technology diffusion)
		Regulatory P2 (e.g. navigating P2 regulations for SMEs in Ontario; P2 a strategy for environmental protection)
		Source reduction methods (e.g. eco-design; green chemistry)
		Social Media and P2 (e.g. corporate social responsibility; online marketing and communications)
		CCME Pollution Prevention Awards (highlights of past winners; looking forward)
		Other

If other please specify:

Title of Presentation:

Presentation Abstract (150 - 300 words):

Equipment Required:

		Flip Chart
		LCD Projector

I understand that if selected as a presenter I would be eligible for a discounted registration fee (30% less than the regular registration rate) and I would be responsible for all expenses associated with my participation at this event.

I agree to pay the special registration fee of $375 + GST (where applicable)

We appreciate your interest and welcome your proposal, but reserve the right to accept only those that contribute to the advancement of pollution prevention and relevance to program areas. We will notify you upon receipt of your submission form.