Speaker Proposal Form

I am submitting this speaker proposal for the following event:

Name of proposed speaker:

Title:

Company/Organization:

Address:

City/State/Zip:

Telephone:

Fax:

E-mail:

Vertical industry represented:

Please provide general information about the speaker’s company:

Area(s) of expertise:


Contact Regarding Proposal (i.e., administrative assistant, public relations executive, etc.)

Name:

Title:

Company/Organization:

Telephone:

Fax:

E-mail:

In a short paragraph, please indicate why we should consider this individual as a potential speaker. Please list any specific business initiatives, individual past experiences, individual role at the company, organizational strategies and/or goals in your response. If you are proposing a speaker for a specific event, please be sure to detail how this individual can bring value to the topic.

Due to the high volume of speaker proposals our event team receives, we are only able to reply to those speakers who are the right match for our programs.

By pressing the "Submit Proposal" button, a copy of your proposal will be sent to the events team. Should you have any questions, please contact Rob Preston (rpreston@techweb.com.)

In order to retain a copy of your submission for your records, please print before proceeding.