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Speaker Booking Form
Thank You
Attendee
Home
Speaker Booking Form
Thank You
Full Name
(Required)
Job Title
(Required)
Company / Organization:
(Required)
Email Address
(Required)
Phone Number
(Required)
LinkedIn Profile
About You / Bio
(Required)
Please provide a short personal bio (maximum 75 words) that summarises who you are, what you do, and any key experience or achievements.
Upload Headshot
Max. file size: 100 MB.
Session Type
(Required)
Keynote
Panel
Roundtable
Workshop
Other
Proposed Session Title
(Required)
Session Description (2–3 sentences):
(Required)
Learning Objectives / Key Takeaways
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Remove
Do you consent to your session being recorded and shared post-event?
(Required)
Yes
No
Do you consent to the use of your name, company, and photo in event marketing materials?
(Required)
Yes
No
Marketing & Promotion
Quick actions to amplify your session and the event.
Promote the event
Share, like and repost a LinkedIn announcement post
Record a 30–60 second video previewing your session or topic
Post during and after the event with a reflection or takeaway (we can provide photos and extra help)
Integrating your network and community
Complimentary passes to invite 3–5 peers at C-Level and C-Level – 1
Tag key industry contacts in your posts to increase visibility
Share event updates with your network
Optional
Help connect us with innovative solution providers or vendors you work with, especially those with fresh perspectives, emerging technologies or proven solutions that could add real value to the conversation.
Please list any vendors or solution providers you’d like to recommend.
Add
Remove
Consent
(Required)
I understand and agree to help with the marketing for this session.
Signature
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