* 1. Speaker Name

* 2. Contact information:

* 3. Preferred method of contact

* 4. Subject of Speaker’s Presentation/Speaker’s Area of Expertise

* 5. Type of SMPTE events at which you are willing to present. Please check all that apply.

* 6. Distance you are willing to travel to make presentations:

* 7. Please include any additional information about your availability, subject matter expertise, etc.

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