Speaker Information Form
* The only speakers bureau in the U.S. for white collar criminals.
* We provide 1,000 presentations every year: conferences, seminars and online (webinars and webcasts).
* Half of our speakers are Pros - CPAs, attorneys, CFEs, forensic accountants, doctors/nurses, engineers, etc.
* Half of our speakers are Cons - professional and business people who made a mistake, paid the price and want to help others avoid their fate.
* Section 1 everyone completes
* Section 2 White collar criminals must complete
Email address *
Your website if any.
Your answer
Salutation *
First Name *
Your answer
Last Name *
Your answer
Company *
Your answer
Type of Company *
Telephone (include type: cell, work, home) *
Your answer
Your Industry Expertise - check all that apply and use "Other" if needed *
Required
Academic / Medical / Professional Certification (e.g., CPA, JD, MD, or none). Include the state you are licensed in and if your license was revoked or you did not renew your certification. *
Your answer
In no more than 10 lines, describe why you want to speak. *
Your answer
Previous presentations (or none). Include Title, URL, Date, Organization, and Type (conference, seminar, online/webinar/webcast). *
Your answer
Street *
Your answer
City *
Your answer
State (if U.S. 2 letters)/Province/Region *
Your answer
ZIP/Postal Code *
Your answer
Country (if not USA)
Your answer
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