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* Presenter First Name
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* Presenter Last Name
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* Presentation Title
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* Is more than fifty percent (>50%) of your or the presenter's income derived from professional speaking engagements?Required
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* Brief professional background to be used for marketing purposesRequired
* Are you or the presenter represented by a speakers bureau?Required
* Please list your requested speaker rate per hour or will it be complimentary?Required
* Are you planning to attend this event regardless of whether or not you are selected as a speaker?Required
Previous Speaking Experience (up to five)
Not required if presented with PPAI in last three years.
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* Type of PresentationRequired
* Which content area best fits your presentation?Required
* Will you allow PPAI to record your presentation?Required
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