SAGES Resident Webinar-Faculty RSVP Please submit this form by requested due date. For any questions, contact Vanessa Cheung in the SAGES office; ph 310-437-0544 x122 or email vanessa@sages.org Webinar Date:* Webinar Title:* Faculty Name* First Last Course Participation:* YES I will participate in this Webinar NO, unfortunetly I am NOT available to participate in this Webinar Please verify your address for honorarium purpose after the course:Your Email: Office Phone #Cell Phone #SAGES Usage Agreement/PermissionsBy agreeing to present at this SAGES webinar, I grant a perpetual, non-exclusive, worldwide, revocable, royalty-free license to SAGES to reproduce, distribute, and display my presentation on the SAGES website/portal, and for no other reason. I own and will continue to own in the future all rights, title and interest in and to the aforementioned media reproduced, distributed and displayed on the SAGES website/portal. I agree