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Speaker Proposal Form

Required fields are marked with an asterisk (*).

Contact Information
Name and title of person submitting the form, if different than speaker information.
Name*
Title*
Company or Organization*
 Speaker represents a business or organization that is a Chamber member in good standing.
Work Phone*
Cell Phone
Email Address*
Speaker Bio*
Highlight relevant features of your career, experience and/or education, as well as your experience as a speaker. It should not describe company products or services. Include links to relevant websites or articles.
Speaker Photo*
This may be used on the website and in other publicity.
Maximum file size: 122.8 MB | Accepted file types: .jpg .jpeg .png .gif

Proposal Details
Title of Presentation*
Presentation Overview*
Keep in mind that this is not a promotional pitch for the presenters, but an opportunity to showcase your particular area of expertise.
Target Audience(s)*
 Advocacy & Government Relations
 DEI
 Quality of Place
 Small Business & Entrepreneurship
 Young Professionals
Top Three Takeaways*
What practical tips, guidance, and outcomes will attendees be able to implement by attending?
Can you tailor your presentation to 40 minutes or less?

Audio Visual Requirements

We will ensure our host location provides internet access and a method for displaying a presentation (projector & screen or electronic display). If you have any additional preferences for A/V, please indicate those below.
Select all audio/visual preferences.*
 Podium/lectern microphone
 Handheld microphone
 Lapel microphone
 Podium/lectern
 Screen (projector and screen or large TV screen)
 No preferences

Additional Questions
Is there a cost associated with you speaking? If yes, please list your fees.
Is there any additional information you'd like to share regarding your speaker proposal?
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