DX Virtual TV — 2027 Virtual Conference Speaker Application
Applications are reviewed. No payment is collected at application. Selection is not guaranteed, and a private payment link is only sent to accepted applicants. After submission, a confirmation message is shown.
Applicant Information
Full Name
*
First Name
Middle Name
Last Name
Professional Credentials
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business Name
*
Title
*
Website URL
City and State
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
LinkedIn URL
Short Bio
*
Years of Experience
*
Speaking Application
Preferred speaking role(s)
*
Keynote ($1500 quarterly)
Subject Expert ($750 quarterly)
Panelist ($500 quarterly)
Note on role selection
Topic categories
*
Financial literacy
Wealth
Accounting/Tax
Entrepreneurship
Leadership
Technology/AI
Career
Real estate
Insurance
Legal
Nonprofit/Community/Faith
Preventive health
Mental health
Nutrition/Fitness
Men's/Women's health
Family/Caregiving
Session title(s)
*
Audience learning objectives
*
Session description
*
Credentials / licensure
Speaking experience
Prior presentation video link
Professional services URL
Brand Assets
High-Resolution Headshot
*
Upload a File
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Choose a file
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of
Company Logo
*
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of
Brand Color HEX Codes
*
Font Names / Style Guide
Website URL
*
Brand Guide Upload
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of
Social Media Handles
Preferred Professional Title
*
Approved Short Promotional Bio
*
Images of Business Location
Upload a File
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Choose a file
Cancel
of
Production Readiness
Available recording month
*
January
February
March
Do you have your own microphone?
*
Yes
No
Do you have an HD camera?
*
Yes
No
Do you have suitable lighting?
*
Yes
No
Do you have a computer suitable for recording?
*
Yes
No
Do you have stable internet?
*
Yes
No
Do you have a quiet recording space?
*
Yes
No
Recording and background agreement
*
I agree to recording via Riverside.fm
I agree to use DX-provided backgrounds
I am a keynote speaker and request approval for a business location background
Preferred recording availability details
Promotional Commitment and Terms Acknowledgements
Agreement to promotional commercial ad production and collaboration
*
I agree to participate in production of promotional commercial ads if selected
I agree to supply usable assets for ad production
I agree to collaborate in recordings and related sessions
Other
Acknowledgement of separate written release and scheduling
*
I understand participation is subject to a separate written release
I understand scheduling will be coordinated separately
I understand no recording or use occurs until the release is executed
Other
Quarterly fee acknowledgement for selected tier
*
I acknowledge a quarterly fee applies for my selected tier
I understand the fee is due only after acceptance
I understand the fee terms will be provided in the invitation
Other
Appearance commitment if selected
*
I agree to one appearance per week for four weeks in the assigned month
I understand scheduling will be coordinated in advance
I understand attendance is expected once dates are confirmed
Other
Payment and invitation acknowledgement
*
I understand there is no public payment for this opportunity
I understand any private invitation and payment details are shared only after acceptance
I understand payment is not guaranteed unless accepted
Other
No guarantee acknowledgement
*
I understand there is no guarantee of views
I understand there is no guarantee of leads or conversions
I understand performance outcomes are not promised
Other
Content standards acknowledgement
*
I will follow the event's content and brand standards
I will provide professional, appropriate promotional content
I understand content may be reviewed or requested for edits
Other
Privacy acknowledgement
*
I acknowledge my information will be handled according to the event privacy practices
I understand only necessary details will be used for coordination
I consent to communication related to this application
Other
Consent to be contacted
*
I consent to be contacted about this application and related promotional coordination
I consent to email contact
I consent to phone contact
Other
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