OACC Speaker Form
Please fill out the following Speaker Form
First & Last Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Format: (000) 000-0000.
Company / Organization Affiliated with:
*
Job Title / Position:
*
Cities or Regions you serve:
*
Linkedin URL
Lunch is served at the meeting. Identify any dietary preferences:
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PRESENTATION INFORMATION
I understand that my presentation must be information only and may not include sales pitches, promotional content, or direct solicitation of products or services
*
I understand and agree to comply
Complete a personal bio to be used for promotion / introduction:
*
Topic name or title of your presentation:
*
Describe what the presentation is about (3-6 sentences):
*
Why is the topic relevant to Chamber members?
*
What do you get from presenting this topic to Chamber members?
*
Please upload a professional photo of yourself / team of speakers
*
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Please identify what you need for presenting. Include audio/visual needs/ or any other accommodations:
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Please provide a reference of where you've presented at before
Name of Organization or Meeting
Contact Person #1
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Comments or Questions for OACC?
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