Interested in collaborating with Thames Media Solutions?

This is a speaking/partnership request to collaborate with Thames Media Solutions. Please complete this form and someone from our team will be in touch soon! In order to help us facilitate your request, please complete and submit the following form at least 4-8 weeks prior to the event, and allow 3-5 business days for decisions to be made.

Thanks for your interest in working with us!

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Email *
Name *
Organization *
Event Name 
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Event date/time 
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MM
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DD
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YYYY
Event Type: (conference, dinner, small group, keynote, etc.) 
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Event goal/purpose
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Event website
Requested topic
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Presentation Format: (keynote address, roundtable, panel, etc.) 
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Expected duration 
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Audience:(Approximate size of the audience. Also briefly describe its make-up. 
*
Offer of Payment/Reimbursement: (none, dining, lodging, travel, etc.) 
*
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