"Make it Monday" Speaker Proposal Form

Name

First NameLast Name

Company/Organization

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Are you an Anchorage Chamber member?

Monday forum date requested

Are you interested in presenting to the Anchorage Chamber's Young Professionals Group?

Speaker's Full Name

First NameLast Name

Speaker's Company/Organization

Title of Presentation

Length of Presentation

Full presentations are 30-40 minutes including a Q&A. If your presentation is shorter, it's possible that you will be paired with another short presentation.

Brief summary of the program and statement on how it impacts business in Anchorage:

This will be the description used on the event pages.

Which industries and groups in Anchorage are your target market for this presentation?

If applicable, are there any controversial or oppositional community viewpoints for awareness, or for balancing education on this topic?

Have you recently made this presentation elsewhere? If yes, where?

Will this presentation call for letters of support, or lobby for a position on an issue?

If yes, please explain.

Would you like to provide an optional door prize ($20 min. value)?

Logo

Speaker's Biography

Speaker's Headshot

Speaker's LinkedIn Profile

Notice: The Anchorage Chamber of Commerce will contact the above applicant within 5-7 business days. The Anchorage Chamber reserves the right to deny any applicant's proposal and to cancel, or reschedule, any approved forum. Speakers are not paid for their presentations by the Anchorage Chamber. Equipment use is at no charge. By checking this box, and submitting this form, you acknowledge that you have read and understand the stipulations and procedures above, condone them and agree to operate in accordance with them.