Executive Assistant's E-mail Address
Linked in Handle
Please provide a brief resume / cv in paragraph format below (maximum 150 words):
Please attach a head shot photo
Upload speaker photo
Please describe Topics which you are interested to speak on.
Final Few Questions
Please let us know the mode of speaking.
Live/ Face to Face
Please let us know your speaking engagement fees for a Live event.
Please let us know your speaking engagement fees in for a Virtual event.
Please let us know if you would be happy to take part in/lead any interactive sessions such as roundtable discussions, meet the experts etc.:
Have you produced any articles, videos showing your speaking abilities or similar that you would like to share via our WIMA web site, and promoted though our marketing efforts?:
Yes (please attach them below)
If yes, please attach them here.
Examples of links or links of your previous talks
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform