2025 SPEAKER/PRESENTER APPLICATION

User information

• First name
• Last name
• Email
• Gender
• Birthday
• Address

Business information

• Business name
• Legal business name
• Contact name
• Address
• Email
• Phone
• Website (Optional)
• Logo (Optional)

Additional information

• What topic would you like to speak on? Please give some bullet points as to what you will cover.
• Where have you spoken before and on what topic?
• If you have a website please list it below. If you have a youtube please list it below.
• Please drop a picture of yourself to be used for media if you are chosen.
• If you are opting for a vendor booth please list items to be sold
• Do you have any item(s) that you would like to donate for the raffle?