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* 1. Email

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* 2. First Name

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* 3. Last Name

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* 4. Job Title

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* 5. Company Name

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* 6. Biography

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* 7. Twitter Handle

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* 8. LinkedIn Profile

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* 9. Presentation Title

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* 10. Presentation Abstract

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* 11. Do you have co-presenters?

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* 12. Who is your target audience?

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* 13. Which technologies are most relevant to your topic?

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* 14. Which industry does your topic align with most?

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* 15. Why do you think you would make a  good addition to our speaker line up?

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