COFFEE TALK, Presented by the Business Resource Committee

2019 Speaker Application Form

Name of Speaker*
Date
Date Format: MM slash DD slash YYYY
Company/Organization
Company Address
Street Address City State ZIP Code
Phone
Cell Phone
Email
Were you referred by a Chamber member?
- No
- Yes
Referring Members Name
Are you a current Chamber Member?
- No
- Yes
If no, would you like more information on membership?
- Please send me more information
Please note that Chamber Members are given preference in the selection process. As a result, because of ourlarge membership base the majority of speakers are Chamber Members.
Proposed Topic
What qualifies you as an expert on this particular topic?
What information are you going to provide our members with your content? How will this increase their Membership Value?
Link to video/slide show of past presentation (professional quality not required)
Upload Presentation
Accepted file types: pdf, ppt, pptx.
Are you interested in being placed on an “Emergency Speaker’s” list?
- Yes, please include me.
If Selected You Must Provide:
- One of the following - Presentation Outline, PowerPoint or Take Away/Handout
- Speaker biography for introduction and headshot (if available)
Guidelines for Presentations:
- Must ensure your program is interactive and engaging
- Your seminar may not be used as a sales tool or sales presentation in any way
- You must agree to – and abide by – the given time frame/theme of the event
Name
This field is for validation purposes and should be left unchanged.