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What is your speaking experience? 
First Name

Last Name



Phone Number

Email Address

Primary Area of Expertise

Secondary Area of Expertise (optional)
Briefly tell us about the topic(s) you would speak on.
Do not enter more than a "box" worth of information.
Topic #1

Description #1
Topic #2 (optional)

Description #2 (optional)
Please supply references.
These must be people that have heard you speak.
Name of Reference #1

Name of Reference #2
Email of Reference #1

Email of Reference #2
Where have you most recently been a presenter/speaker?
Event #1

Event #2
Do you have a LinkedIn profile?         Are you replacing a previous registration?    
If your CV is posted, please provide the link.

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