IEPEC 2025 Speaker Information Form

We want to ensure we have the correct information listed on the conference agenda, program, and mobile app. Please confirm your name, job title, and company. Please also upload a brief bio (3-5 sentences) and a headshot photo.

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* 1. Speaker Name:

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* 2. Speaker Job Title:

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* 3. Speaker Company:

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* 4. Please type a brief bio here. The moderator will use this bio to introduce you during the conference. We may also post your bio to the event mobile app, conference program, and/or other marketing materials.

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* 5. Headshot Photo

Please upload a headshot photo. We may post your photo to the event mobile app, conference program booklet, and/or other marketing materials.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 6. As an IEPEC speaker (or author), I agree to:

Allow IEPEC to post my paper and PowerPoint presentation to its website, mobile app, and/or other conference related materials.

Allow IEPEC to use my photograph or video of my presentation if taken by the photographer or videographer during the conference.

None of the above. I wish to withdraw my paper from the IEPEC 2025 event.

Other (please specify)