CHART Conference Speaker Proposal Form
Speaker Name
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Speaker Title
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Company
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Website (must be structured like: http://www.chart.org)
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Email
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Phone
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Title of Presentation
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Type of Presentation
If you checked Keynote above, please list your expected fee. (Note: CHART is a non-profit association with a limited speaker budget.)
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Length of Presentation
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Link to Sample Presentation Video (must be structured like: http://www.chart.org)
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Brief Description of Presentation (50-75 words for printed brochure if chosen)
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Detailed Session Description (Optional: For the committee to better evaluate the session and for use on the website if chosen. Up to 200 words with 3-5 practical takeaway bullets on what attendees will learn and use in their daily practice.)
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Speaker Biography (200-400 words)
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Recommended By or References
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