EmailMeForm
Speaker Submission- Big Ideas Series
Complete this form to enter into the Big Ideas speaker contest.
Name
*
First
Last
I am an:
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Elected Official
City Staff Member
Industry professional
Non-Profit Leader
NLC Corporate Partner
Title
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Please Select
Mayor
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City Manager
Other
If you selected "other," please specify:
City/Organization Representing
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City Size
State
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Alabama
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Texas
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Wyoming
Email
*
Phone
###
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Brief summary of your big idea:
Upload Video Here
. Do not forget to complete this form after uploading your video. Submissions are not complete until the entrants click the final "submission" button at the bottom of this page.
I have read and acknowledge the rules of entry for the contest. Entrance in this contest does not guarantee participants a spot to speak at the event. Only five speakers will be selected.