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Speakers Form
We appreciate your interest in being a speaker/ facilitator! Please fill out this form, and we will reach out if there is a matching opportunity.
Let's start with your nomination:
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Speaker Type:
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Speaker Type:
Founder/CEO
C-Suite
Non-Profit
City Leader
Thought Leader/ Celebrity
Other
Preferred Method of Communication
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Where do you work?
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What is your industry?
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(You can select multiple.)
Where are you located?
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What topics can you provide expertise on (i.e. you would speak or provide guidance on these topics)?
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What topics can you provide expertise on (i.e. you would speak or provide guidance on these topics)?
Do you already have any specific ideas for talks/workshops for the topics listed above? List them here, or put "N/A" if none yet:
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Who are your ideal target audience?
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Provide your speaker page/link (optional)
How were you referred?
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Any additional notes that you would like us to consider?
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Register
