Conference Speaker Application form

With this simple online speaker registration form you can provide information the speaker's biography, the type of conference that will be held, target audience as well as references for the information provided.

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Registration Forms
Signup Forms
Abstract Forms
Tags: speaker,registration,conference
Shared by: jamesroughton

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Georgia Conference Speaker Application

Primary Speaker's Name

First Name Last Name
Company Name as Applicable. If not applicable place a N/A in the box. *
City *
State *
Your Industry *
Your Web Site
Phone Number *

- Area Code Phone Number
E-mail *

Confirmation Email
The title of your session is the first impression for Conference Attendees. Use a concise, but inclusive, title which clearly conveys what you will be presenting and draws attendees' attention to your topic.
Title of Your Session: *
Category *
Category Not Listed
Abstract: Your session abstract will tell Conference Attendees why they should attend your session. To be effective and create interest, it should provide a brief, clear, and concise reflection of your presentation’s content. The abstract should only be one paragraph of between 150 to 250 words in length. *
Outline Your Key Elements. List 4 to 5 primary or key elements of your topic that you will be discussing. *
Target Audience *
Have you given this presentation before and/or you do you intend to present it elsewhere in the near future? *
If YES, please list where and when - If NO place N/A in the box. *
Please provide references with phone number or email - If NO place N/A in the box. *
Bio for Speaker # 1 *
Speakers Name # 2
Bio for Speaker # 2
Speakers Name # 3
Bio for Speaker # 3
Are you both an Exhibitor and a Speaker? In order to schedule your session properly, let us know. *
I agree to submit my presentation prior to the Conference *
I understand that my presentation will be available on the GeorgeConference website for members to download *
I have verfied that all information provided is accurate. and complete *

Yes
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