Makings of a MOB Panelist Submission
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1. Conference Panelist Submission

Thank you for your interest in participating in one of the Makings of a MOB Conference panel (Sept 22, 2010).

We thank you for taking the time to nominate yourself as a panelist. We regret that we are unable to respond to each submission individually. We will contact you directly if we're interested in learning more about you for one of our conference panels.

Thank you!

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1. Please tell us about yourself

Please tell us about yourself Name:
Company:
Title
Address 2:
City/Town:
State:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:

2. Please select which panel you would like to be considered as a panelist:

Please select which panel you would like to be considered as a panelist: Meet the Media (current tv, radio, print, online media & PR pros only)

The Business of Balance (we're looking for MOBsters w/kids of varying ages & in various stages of business)

Smart Strategies for Growing Businesses (preference goes to business consultants, authors, speakers)

Meet the MOB (must own your business for no less than 5 years)

additional comments

3. Briefly describe your qualifications to speak on this topic.

Briefly describe your qualifications to speak on this topic.

4. Have you been a workshop facilitator or a meeting panelist for The Power MOB in the past year, or were you a panelist or moderator at the past conference?

Have you been a workshop facilitator or a meeting panelist for The Power MOB in the past year, or were you a panelist or moderator at the past conference? Yes

5. Please describe other conferences at which you have spoken and/or include any other speaking experience you have.

Please describe other conferences at which you have spoken and/or include any other speaking experience you have.

Makings of a MOB Panelist SubmissionExit this survey