MRMW NA 2019-Research Provider Submission Form
Email address *
Date of Conference: April 10-11, 2019 Cincinnati | Submission Deadline: October 1st, 2018
All accepted vendor speakers are required to purchase an exhibition/speaker package at a SPECIAL PRICE of $1,475 (Regular price is $2,950!). The package includes 1 exhibition booth plus 2 full delegate passes.
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Presentation Type *
Title of presentation: *
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Synopsis *
Please insert a synopsis between 500-1000 words below. Please include 3-4 bullet points summarizing the key takeaways.
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Presenter 1: Name *
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Presenter 1: Email Address *
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Presenter 1: Phone Number *
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Presenter 1: Twitter ID (e.g. @merlien)
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Presenter 1: Job Title *
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Presenter 1: Company-Name: *
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Presenter 1: Biography
Please insert your biography in paragraph form. You may include links to social media profiles such as LinkedIn and Twitter.
Co-speaking with Client? *
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