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* 1. What is your full name?

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* 2. What is your phone number?

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* 3. What is your email address?

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* 4. In which city/ state are you located?

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* 5. What is the name of the company you work for?

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* 6. What is your current job title?

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* 7. What is your area of expertise or the topic you would like to speak about?

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* 8. How long approximately will your session run?

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* 9. What is the title of your presentation? 

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* 10. Can you provide a brief summary or abstract of your presentation topic?

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* 11. What are the key takeaways or learning outcomes for the audience after attending your presentation?

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* 12. Will you be incorporating any interactive elements?

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* 13. What type of AV requirement will you need?

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* 14. Can you provide a reference of your previous speaking experience

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* 15. Please provide your most recent biography

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* 16. Please kindly attach your headshot

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