Speaker Information & Agreement
Easy Health Solutions Summit - Oct 11-13, 2023
Your Name - as you want it to appear on all materials
*
First Name
Last Name
Email - for communications about this summit
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Speaker's Commitment
When you sign this form it indicates that you have read and understood the Speaker's Agreement (outlined on the PDF) and that you are committed to the success of this event. Please maintain good communication at all times to ensure a successful event for both the expert speakers and the audience.
Please sign to confirm that you have read, understand, and agree to the terms and conditions above.
*
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Speaking Time
As soon as we receive your completed application, we'll reach out to confirm your speaking slot for this live event. Please let us know what times you prefer. The event date/times are October 11-13 between the hours of 11am-4pm EST.
What date/time ranges do you prefer for speaking. (select all that apply)
*
Wed. Oct 11: First half (11am-1:15pm)
Wed. Oct 11: Second half (1:45pm-4pm)
Thurs. Oct 12: First half
Thurs. Oct 12: Second half
Fri. Oct 13: First half
Fri. Oct 13: Second half
Any time works!
Mailing Dates
Please choose your mailing dates for the summit between (September 27-Oct 13, 2023) and mark them on your calendar. You are required to send 2 emails, but SWIPE copies for three emails will be provided.
First Email - In advance (suggested between Sept 27-Oct 10)
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Month
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Day
Year
Date
Second Email - Closer to event start (suggested between Oct 8-11)
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Month
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Day
Year
Date
Third Email - Rally your audience the day before, or morning of, your talk (between Oct 10-13)
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Month
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Day
Year
Date
Thank you. Anything else you need us to know?
Submit
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