Flashback to the Con Panelist / Speaker Application
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Email address
*
Your email
Name
*
Your answer
Contact Phone Number
*
Your answer
Tell us about yourself / your qualifications to be a panelist / speaker.
Your answer
Website Link
Your answer
Social Media Link
Your answer
How many people are on your panel? (Please provide names if applicable)
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Just me!
Other:
Days you will be in attendance
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Check off all that apply!
Friday
Saturday
Sunday
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