BenefitsPRO Expo Call for Speakers Inquiry Form

First Name: *

Last Name: *

Designation:

Job Title: *

Company/ Organization: *

Address: *

City: *

State: *

Province: (for non-US residents)

ZIP/ Postal Code: *

Country: *

Primary Phone: *

E-mail Address: *

Please select a Session Track *

Session Title: *

Presentation Summary (Include brief summary & key takeaways for the audience): *

0/500 words

Presenter Biography: *

0/500 words

Qualifications: *

0/250 words

Primary Topic:

Secondary Topic:

Target Audience: *

Industry: *

*

By checking this box, I understand that I am inquiring on speaking opportunities. This inquiry form does not guarantee speaker confirmation, event registration or any other official event participation. All content should be educational in nature, vendor neutral and devoid of promotional material. For 2019, topics focused on dealing with volatile/uncertain health care climate, agency business transformation and experience-driven technology implementation are desired. Please note that by submitting this form, you are committing that the listed speaker, or a comparable replacement, will be available over the conference dates. Should any scheduling conflict arise, it is the responsibility of the speaker's organization to make a replacement available.