Panelist Registration Form
Complete this form to become a panelist at the Sixth Annual Secure The Bag Conference on October 19, 2025 in Virginia Beach, VA.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Number of years in business
*
Industry / Profession:
*
List of your “Professional Titles” for your conference flyer
*
Upload Professional Headshot
*
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Upload Professional Bio
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PANELIST PACKAGES: select one
*
Panelist Package $200. Personalized event flyer, flyer posted to event website and social media pages, panel participation during the conference, VIP seating with swag bag, business cards inside all VIP swag bags, logo on the sponsorship banner. *upon signing up, you will receive an invoice from secure the bag conference and an email with further event instructions*
As a panelist, what expert advise will you offer to the audience?
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