What type of speaking engagement are you interested in?
*
I need a speaker from EPCOR
I want to speak at an EPCOR event
Name
*
First Name
Last Name
Organization
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Requested Date
*
-
Month
-
Day
Year
Date
Requested Time
*
Hour Minutes
AM
PM
AM/PM Option
Format
*
In-person
Virtual
Topic Requested
*
Detailed Description of Topic
*
Length of Presentation
*
Audience Makeup
*
ie: attendee job roles, experience level, general description
Approximate Attendance
Will it be recorded?
*
Yes
No
Special request for individual speaker from EPCOR
Presenter at EPCOR Event
Name
*
First Name
Last Name
Title
*
Company
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Do you have a co-presenter?
Yes
No
Co-Presenter at EPCOR Event
Name
First Name
Last Name
Title
Company
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Do you have an additional co-presenter?
Yes
No
Additional Co-Presenter at EPCOR Event
Name
First Name
Last Name
Title
Company
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Presentation Proposal
At what event are you interested in speaking?
EPCOR Payments Conference
Webinar
Payments University
Virtual Workshop/Symposium
Other
Title of Presentation
*
Session Description
*
Please provide a solid and complete 50 – 75 word description of the topic content. Keep in mind this is the only information that attendees will have when making their selection of which sessions to attend.
Company or Presenter Bio
*
Submit
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