For Kristan’s Speaker Pages Click Here Contact InformationSponsoring Organization:* Contact Name* Contact Position* Contact Phone Number*Email Address* Website URL Program / Event InformationName of Program / Event* Date of Program / Event* MM slash DD slash YYYY Location of Event* What is the Theme / Purpose of the Program / History / Event*Proposed Topic(s)* Length of Presentation* Speaking Format (panel, roundtable, keynote, etc.)* Presentation Time* Other Invited or Confirmed speakers* Audience Demographic / Details*Audience Size* Expected Media Coverage* Are travel expenses paid by Speaker or Event?* Yes No Conference Registration Provided?* Yes No Other Benefits Provided by: Trade show booth, logo in program or at event, etc.* CommentsThis field is for validation purposes and should be left unchanged.
