BGC Speaker Request Form
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Email *
Who are you looking to book?
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Section 1: Contact Information

Please provide the primary contact details for this request.


Full Name
 *

Organization / Company

 *

Email Address

 *

Phone Number

 *
Section 2: Event Details

Kindly provide the details of the event for which the speaker is being requested.

Event Name
Event Type (e.g., Conference, Workshop, Webinar, Panel Discussion)
Event Date, Time & Location
Event Date & Time
Section 3: Speaking Engagement Details

Specify the purpose and scope of the speaker’s involvement in your event.

Topic or Subject Area

Purpose of the Engagement - (Keynote, Panel Discussion, Breakout Session, Workshop, Training, Other)

Length of Presentation (e.g., 30 minutes, 1 hour)

Audience Description (Who will be attending? e.g., Professionals, Students, Executives)

Estimated Number of Attendees

Are there any opportunities for company inclusion? (ie; newsletter, event placements)

Does the speaker need to fulfill any social media obligations for the event? 

Section 4: Logistics & Support

Provide information regarding event logistics and any support offered to the speaker.

Will travel and lodging be provided? (Yes / No / Not Applicable)

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Will audiovisual and technical support be available?

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Honorarium or Compensation Offered

Additional Notes or Special Requests?

Section 5: Submission & Follow-Up

Please ensure all required fields are completed prior to submission. You will be contacted within five (5) business days to confirm the availability of the requested speaker.

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