Conference Speaker Application Form

Lets prospective speakers submit a session proposal for a conference, including the presentation abstract, biography, and references.

Use this template

Primary Speaker's Name

First Name

Last Name

Company Name, if applicable. If not applicable, enter N/A.

City

State

Your Industry

Your Web Site

Phone Number

E-mail

Session Information

Title of Your Session:

Category

Category Not Listed

Abstract: In one paragraph of 150-250 words, describe your presentation's content to motivate attendees to choose your session.

Outline your key elements: list 4 to 5 main points you will cover in your topic.

Target Audience

Have you given this presentation before, and/or do you intend to present it elsewhere in the near future?

If YES, please list where and when. If NO, enter N/A.

Please provide references with a phone number or email. If not applicable, enter N/A.

Bio for Speaker # 1

Speaker's Name # 2

Bio for Speaker # 2

Speaker's Name # 3

Bio for Speaker # 3

Are you both an Exhibitor and a Speaker? Let us know so we can schedule your session properly.

I agree to submit my presentation prior to the Conference

I understand that my presentation will be available for members to download on the conference website

I have verified that all information provided is accurate and complete.

I confirm

Signature

Sign here

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