Performer/ Speaker Application Form
Fill this out and we'll get in touch with you!
Business Name / Group Name / etc.
Name of Representative
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Website
Interested in becoming a:
*
Performer
Speaker
What general topics would you like to Speak about?
*
Provide details about your unique perspective
What qualifies you to speak on these topics?
*
What type of performance would it be?
*
What are some logistics / technical needs of this performance?
*
Make sure to indicate if something is required vs. nice-to-have
Venmo Handle
Provide this if you'd like to collect tips from the audience. One Venmo per speaker/performance, please.
Submit
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