Conference Speaker Form Name * First Last Address Address Line 1 * Address Line 2 City * State * Zip Code * Country * Company Name * Job Title * Biography * Email Address * Phone Number * Proposed Topic * Short Description * Session Type * — Select — In-Person Presentation Remote Presentation Session Length (Preferred 120 Minutes) * — Select — 60 Minutes 90 Minutes 120 Minutes (Preferred) Video URL Additional Information Including Any Books or Professional Articles That You Would Like to Promote at Our Event Date Preferred (If Available) * — Select — Monday, October 10, 2022 Tuesday, October 11, 2022 Time Preferred (If Available) * — Select — Morning Early Afternoon Your Photo * Select Image Upload a photo for our conference book and website promotion
