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Speaker Application Form

Panelist #1

Name

Panelist #2

Name

Panelist #3

Name

Panelist #4

Name

Panelist #5

Name

The speaker applying should be the person intending to present at the conference, as FETTI does not allow substitution of the approved speaker.

Have you spoken at any other industry events?

Please attach a speaker bio, outline and any other pertinent materials to this form. You will be contacted if you have been chosen to speak.

Max. file size: 512 MB.
Max. file size: 512 MB.
Max. file size: 512 MB.
Max. file size: 512 MB.
Max. file size: 512 MB.
Max. file size: 512 MB.

APPLICANT RESPONSIBILITIES

We intend to apply for CE credit with CA, FL, OK and TX for this conference. This means you will have deadlines several months prior to the conference for submissions of outlines, PowerPoints, speaker bios, summaries, etc. These submissions can change for your presentation, but we must have a current version of the documents requested by the deadlines provided. Please check the box below to acknowledge these needs and confirm your ability to support FETTI in meeting these deadlines.

Acknowledgement(Required)

Click the submit button only once; it may take up to 5 minutes to process and upload attachments.

This field is for validation purposes and should be left unchanged.