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First

SPEAKER APPLICATION

If you're interested in speaking at one of our events, complete a brief speaker application below (Required fields are marked with *). Please send an email to contactleaninwiti@gmail.com if you have any questions.

Please fix the errors highlighted in Red to continue.

Name*

First

Last

LinkedIn Profile*
Email Address*
Phone Number*

Example: https://www.linkedin.com/

Job Title*
Portfolio/Company Website

Example: https://www.google.com

Presentation Topic*
Abstract of Presentation* 
Select File
Company/Organization*
Past Presentations*

List the names of organizations and topics you have presented in the past year.

Session Title*
Additional Information

Max one file, size 15MB in doc/docx/pdf/pptx format only.

If my application is accepted, I, and my co-presenter (if any), agree to abide by all event timelines and standards.  I agree not to change content or presenters without the written consent of WiTI. I understand that I am responsible for all travel and accommodation costs.

I've read and agree to the Terms and Conditions.

Electronic Signature*
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