Form

First Name*

Last Name*

Email*

Phone number

Company name*

Speaker Bio*

Session Title*

Topic*

The overall topic of the presentation

Session Description*

The session description should provide the benefits of attending the session.

Learning Objectives*

List up to (3) learning objectives that attendees can achieve by attending your proposed
session

Session Format*

Additional Speaker Information

Please share additional contact infor if applying for multiple speakers

Additional Information

Please share any additional information that you believe may be helpful in the selection process

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