Speaker Proposal Form

First and Last Name

Email

Title

Company

Website

Phone

Type of Speaker Type of Speaker I would like to be considered for a breakout session speaker. I would like to be considered for the keynote speaker.

Speaker Biography (90 word count max)

Optional: Speaker Video (If you have video of you presenting to a group, please provide a link to the video.)

Optional: Professional Reference

Presentation Title

Presentation Description (90 word count max)

Presentation Takeaways (Provide 3 - 5 actionable items/takeaways that you will provide the attendees.)

MFR Case Study (If your presentation will include a manufacturer case study, please include a description below if you did not already include it in your description.)