Speaker Form

  • Please provide a mailing address where we can ship equipment for your session recording, if applicable.
  • This will determine the type of equipment we send to you.
  • (i.e. Windows or Mac) - Please indicate model and year with your answer.
  • (i.e. Android, iPhone 8, iPhone X, iPhone 11) Please indicate if you have a cable adapter that can connect your phone to your computer.
  • Please choose your speaker role from list below.
  • Please provide a short bio of up to 100 words
  • Please upload your current headshot to be used on our website, program
  • This field is for validation purposes and should be left unchanged.