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Speak on Our Stage
Are you interested in speaking at our upcoming events, or Women of Inspiration Podcast?
Please complete and submit the following form:
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Name
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First
Last
Your Title
*
Company Website
*
Email (copy)
*
Email
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Contact Number
*
Contact Name of your EA or Point of Contact
First
Last
Email of Your Contact
Email
Confirm Email
Contact Number of your EA or Point of Contact
*
LinkedIn
https://www.linkedin.comyour account
Twitter
https://www.twitter.com/your Twitter handle
Instagram URL
https://www.instagram.com/your instagramaccount
What Interests You?
*
Podcast Interview
LinkedIn Live
Online Events
Industry Expert
Speak on Panel
Keynote
Master Class
Other
What speaks to you about speaking on our stage?
*
Short Bio (200 words max)
*
What is your definition of a Woman of Inspiration?
*
This information will be utilized for marketing the event
Title of Your Talk and Three Key Lessons our Viewers Can Take Action On Immediately OR Area you wish to highlight?
*
How do you SupportHER?
*
This information will be utilized for marketing the event
What Accomplishment Are You Most Proud of? (copy)
*
This information will be utilized for marketing the event
Do you have a book or offer?
Yes
No
Other, Please explain
If yes, please describe your offer
Please upload your Professional Headshot
*
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Size: Min 600x600 px; Max 1MB. Type: .jpg or .png
Please upload a Sizzle Reel
Click or drag a file to this area to upload.
* Not required for Panels or talks under 45 min. Max 1 min. File type: .mp4 or .mov
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