EmailMe Form - Speaker Proposal - Conversion Conference West 2013

Speaker Contact Information

Name *

First Last

Title

Organization

Email *

Office Phone

### - ### - ####

Twitter Handle

Assistant Contact Info (if appropriate)

Ass't Name

First Last

Ass't Email

Proposed Presentation

Presentation Title *

NOTE: If you have spoken at a previous Conversion Conference your presentation must be new to our audience. Please do not submit a session that has been presented at Conversion Conference before, unless you have made significant changes to the content.

Brief description (50-75 words) *

Please list 3 learning objectives that will be met.
Learning Objective 1 *

Learning Objective 2 *

Learning Objective 3 *

About the Speaker

Please upload a photo headshot

100-125 word bio that can be published in conference promotions *

Previous conferences at which the speaker has presented

Please Read, Initial and Submit

Speakers at Conversion Conference are expected to help promote the conference and to be available for networking with attendees throughout the show. Please indicate your acceptance of the speaker responsibilities by initialing the items below.

I agree to register for a complimentary speaker pass by the specified deadline

I agree to help promote the conference to my social networks, email lists and colleagues.

I will submit at least one blog post to Conversion Conference prior to the conference (need not be original material)

As a speaker, I will host a roundtable discussion during lunch both days of the Conference