Rapid Fire Speaker Submission Form Question Title * 1. Contact Information Name Company City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address Phone Number Question Title * 2. Title of Presentation Question Title * 3. Description of Presentation Question Title * 4. List 3-5 Takeaways for the Audience Takeaway Takeaway Takeaway Takeaway Takeaway Question Title * 5. Length of Presentation 30 minutes 45 minutes 60 minutes Other (please specify) Question Title * 6. Describe the Format of the Presentation Lecture Case Study Panel Discussion Other (please specify) Question Title * 7. Describe your experience related to presenting this topic. Question Title * 8. List your speaking experience if any. Done
