* 1. Submitters First Name

* 2. Submitters Last Name

* 3. Submitters Company Name

* 4. Proposed Speakers First Name

* 5. Proposed Speakers Last Name

* 6. Proposed Speakers Job Title

* 7. Proposed Speakers Email

* 8. Submission Title/Speaking Topic

* 9. Is your submission a single, joint or panel discussion

* 10. Submission Overview: Please provide a SHORT summary of your submission (200 word limit)

* 11. Key Focus

* 12. If you selected other in Q11, what key focus are you targeting?

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