Chamber Speaker Information

Chamber Speaker Information
Thank you for agreeing to be a part of a Westfield Chamber Speaking Opportunity.

To ensure the best outcome and to share a little bit about you with our guests, please fill out the information below. We will not share your personal information with our guests.

Thank you!
Formal Name*

First NameLast Name
Preferred Name for Nametag*
Professional Title*
Current Employer*
Preferred Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Phone Number for Day of Event*
Please enter a valid phone number.
Preferred Email*
example@example.com
Please provide a short bio that will be used for marketing purposes.*
Please provide a brief description of your presentation/program that will be used for marketing purposes.*
Please provide a headshot that will go with your bio. (Formats: PNG, JPG)*

Cancelof
Please provide your company logo if speaking in your capacity and/or on behalf of your company. (Formats: PNG, JPG)

Cancelof
Will you have a PowerPoint/video presentation?*

YesNo
Will you need a laptop or be bringing your own? (An LCD projector and clicker will be provided)*

Yes, I will need a laptopYes, I will be bringing my own laptopNo
If bringing your own, what type of computer will you bring?*

Dell/PCApple
Will you have any handouts to share?*

YesNo
Will you have any digital files to share?*

YesNo
Any dietary restrictions?*

YesNo
If yes, please include them below.
Any special accomodations needed?*

YesNo
If yes, please include them below.
Please send your PowerPoint/handouts to info@westfieldchamberindy.com by noon the day prior to your presentation.
If you have any questions about your speaking engagement, please contact info@westfieldchamberindy.com. Confirmation about location and time will be sent 48 hours in advance.
Should be Empty: