Thank you for your interest in presenting to our membership and sponsors. Please complete this form to help us learn more about you and what you are interested in presenting. The programming committee reviews submissions and will follow up. Please note the following: submission of this form does not guarantee you will present; there is no compensation for presenting; and programs are confirmed well in advance. Thank you!

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* 1. Today's Date

Date

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* 2. Full Name

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* 3. Company Name

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* 4. Phone Number

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* 5. Email

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* 6. What is your LinkedIn Profile and/or Website?

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* 7. What is the title and description of the presentation you wish to present?

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* 8. Briefly describe your experience presenting both in-person and online.

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* 9. If you have a video of your presentation, please include a link to the recording. Please put N/A if needed.

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* 10. What category does your presentation fall under? You can select more than one.

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* 11. Do you have a current book?

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* 12. What is your experience/connection with POWER?

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* 13. If you answered yes to the last question, what is the title and release date of your book?

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* 14. What else would you like us to know?

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* 15. Please upload your headshot:

PNG, JPG, JPEG, GIF file types only.
Choose File

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* 16. Please upload your bio:

PDF, DOC, DOCX file types only.
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