Requesting a Sharecare Executive to Speak at Your Event
Please fill out the below form to request a Sharecare executive to speak at your event.
Your Name:
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Your Company:
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Your Title:
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Your Phone Number:
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Your Email:
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Sharecare Executive(s) you are requesting to speak:
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Event Name:
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Event Website:
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Event Location:
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Speaking Date:
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Speaking Duration:
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Proposed Speaking Topic:
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Type of Event: (e.g. Conference, Awards Ceremony, etc.)
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Type of Address: (e.g. Keynote, Panel, Breakout Session, etc.)
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Expected Audience Size:
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Audience Composition:
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Is there a honorarium for the event?
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Does the event cover travel costs?
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What types of media will be in attendance?
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Names of other speakers you are seeking or have confirmed:
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Any Additional Information:
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