WSNCT Speaker Request

Event Purpose/Description

Primary Contact Email

Other Speakers Who Are Participating in the Event

Will the speaker be on a stage?

Yes No

Will a podium be available

Yes No

Will there be a backdrop, signage or screen image behind the speaker?

Yes No

Will A/V be available for a PPT presentation or video?

Yes No

Will members of the media be present?

Yes No

OPTIONAL - Please attach the proposed meeting agenda/event program.

Please select a file

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