Thank you for your interest in sponsoring to speak at CCA’s 2017 Annual Convention in Fort Worth, TX! Please keep in mind these are sponsored speaking roles, and the $1,250 sponsorship fee includes a guaranteed spot on the breakout session, a complimentary registration pass for your speaker and your company will be listed a Bronze Sponsor. Please note there is a very limited number of sponsored speaking slots and you are submitting speakers to CCA's pre-determined breakout sessions only.  There will most likely be 4-5 other speakers on your panel. Upon completion of your submission, CCA will notify you within three weeks as to whether or not we can accommodate your sponsored speaker.

Only online submissions will be considered. Please feel free to submit more than one speaker. You will need to fill out this proposal form for each submission.  The deadline to submit is Friday, August 25.

Please contact the CCA Events Team at events@ccamobile.org with any questions.

* 1. Session Title: Please select the breakout session on which you are most interested in speaking.

* 2. Candidate Name:

* 3. Candidate's Title:

* 4. Candidate's Organization:

* 5. Candidate's Contact Information:

* 6. Brief Company Description (100 words or less):

* 7. Candidate Bio:

* 8. Please upload candidate headshot for use in our mobile app and promotional materials:

JPEG, JPG, PNG file types only.
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* 9. If selected for the chosen session, please briefly describe what the candidate would add to the discussion:

* 10. Submitter's Contact Information (if not the candidate):

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