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Proposed Guest Name
*
First Name
Last Name
Proposed Guest Title
*
Proposed Guest Email Address
*
example@example.com
Proposed Guest Organization Name
*
Are you the proposed guest?
*
Yes
No
If no, Your Full Name
First Name
Last Name
If no, Your Email Address
example@example.com
If No, Relationship to the proposed guest
Employee of the guest’s organization (FTE)
External marketing or PR agency
Investor or board member
Partner or collaborator
Other
About Proposed Guest
*
BioHealth Focus
*
Biotech, MedTech, Digital Health, Diagnostics, Etc.
How is the guest connected to the BioHealth Capital Region?
*
About the guest’s work, organization, partnerships, or impact that connect to orsupport the region.
Proposed Topic for BioTalk Episode
*
Short paragraph describing the main topic or themes the guest would like to discuss.
Why this conversation would be valuable for BioTalk listeners?
*
Short paragraph explaining relevance, perspective, or insight the guest would bringto the BioTalk audience.
Anything you'd like to share.
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