TPPA Speaker Listing Application

TPPA Speaker Listing Application
Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email
example@example.com
Website
Program Title/Description (200 min. - 300 max. word count)
Program Title/Description (200 min. - 300 max. word count)
Program Title/Description (200 min. - 300 max. word count)
Bio (100-200 word count...Don't list achievements, tell us about you!)
Degree/Certifications Earned
Have you attended the PPA Juding Class?

Yes No
Have you presented to other guilds or states? Please tell us where.
When it comes to speaker fees:

I am willing to speak for guild honorariums plus merit(s). Fees are negotiable, please contact me. I have a sponsor(s) who may help with my fees.
My fees range from:
Please list any sponsors you might have. (Include contact info)
To complete this application for the TPPA Speaker Listings, you will need to provide a professional headshot and six sample images.
Please upload your professional headshot (head and shoulder only. Must size to 1500 pixels on the longest dimension)

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Sample Image 1 (Must size to 1500 pixels on the longest dimension)

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Sample Image 2 (Must size to 1500 pixels on the longest dimension)

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Sample Image 3 (Must size to 1500 pixels on the longest dimension)

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Sample Image 4 (Must size to 1500 pixels on the longest dimension)

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Sample Image 5 (Must size to 1500 pixels on the longest dimension)

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Sample Image 5 (Must size to 1500 pixels on the longest dimension)

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