BECOME A SPEAKER

I Would Like to:

First Name*

Last Name*

Job Title*

Company*

Email Address*

Company Website (If Applicable)*

Mobile Phone Number*

Please include the country code eg: +971 50 1234567

Country of Residence*

Nationality*

Which Industry Sector do you Represent?*

Has you/this person spoken publicly before? If so, where?*

Yes

If yes, where?

Please provide links to online video or audio featuring the proposed Speaker.

Please provide links to any articles or web pages about the Speaker.

Proposed Topic*

Please share the Bio of the Speaker or/and Claim to Fame:*

LinkedIn URL

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