GED Summit 2025 Speakers/Moderators Form

Speakers/Moderators

Agreement & Complimentary Registration
Please choose one:*

I accept the invitation to speak at GED Summit 2025 ConferenceI accept the invitation to moderate at GED Summit 2025 Conference
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number

Country CodeArea CodePhone Number
Do you require visa to come to Canada?*

YesNo
If yes, upload passport copy*

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How did you hear about GED Summit*
Referred by
Disability

I am disabled and will need event access assistance
What are your disability needs
Any food requirements?*

VeganVegetarianGluten FreeNone
Have you sent your bio?*

YesNo
Upload Short Bio*

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Have you sent your headshot?*

YesNo
Upload your headshot photo*

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Are you travelling by air?*

YesNo
Departure Date*

MonthDayYear
Date
Return Date*

MonthDayYear
Date
Departure Airport*
GED Summit Terms and Conditions*
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