SPEAKER REQUEST

Will your organization offer an honorarium?(required)

YES NO

Will your organization cover travel and lodging expenses?(required)

YES NO

Type of Presentation(required)

Keynote Panelist Workshop/Breakout Session Fireside Chat

Will a PowerPoint be required? (required)

YES NO

Will presentation materials, i.e. handouts, be required?(required)

YES NO

What audio/visual equipment is available?(required)