Summit Speaker information form
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Email *
Name & special pronunciation *
Position in your company *
Name of your business *
Brief description of what services your provide *
Website url *
Link to podcast *
Done any virtual summit before? (If so, name of summit) *
Social media handles: Facebook, twitter, instagram & other if applicable *
Short bio *
Three things you've done to make yourself an expert *
Fun fact about you *
Wow Factor (prestigious awards, recognition, media appearances or notable accomplishments) *
Your Unique Expert Position: (10 words or less) *
SPECIAL GIFT, FREEBIE, OR GIVE A WAY: Please provide name, description, link and image *
Top talking points related to (please list 5 topics in order - 1 thr' 5) *
Any other speakers you'd like to refer or suggest that you think would help excel the summit *
Approximate active list size *
Are you willing to promote the summit to your audience using 2-3 emails and 2-3 social media posts (minimum) *
Any other comments or suggestions *
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