Black Girls In Media Speaker Request Form
Interested in participating in one of our events as a speaker/ panelist/ host or moderator? Please use this form so that we may contact you!
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Email *
Instagram handle
 *
Email *
Name *
Phone Number
Residing Location *
Desired Participant Type *
Industry/ Niche *
Have you ever attended a BGIM event? *
Please list/ explain your event speaking experience and any links *
Any specific ideas/ suggestions of participation? *
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