Spring Conference Profile Form | NHBSR

"*" indicates required fields

URL

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

Please fill out this Conference Speaker form, if you have any questions, please feel free to email debbie@nhbsr.org.

Speaker First Name (as you want it to appear on the website)*

Speaker Last Name (as you want it to appear on the website)*

Email*

Will not be shown on website.

Speaker Title (as you want it to appear on the website)*

Session Title*

Session Owner?*

Yes

Speaker Role*

Moderator

Speaker

Panelist

How many speakers/panelists in this session (total)?

Each speaker or panelist will need to submit this form.

Company website

LinkedIn Page URL

Debbie Roy will send a friend request. Please accept so we can tag you in session promotions.

Facebook Page

Other Social Networks

Speaker Bio (up to 250 words)*

Limit 1200 characters)

Upload Speaker Image/Headshot*

Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.

PNG or JPG (Max size 1 MB)

Additional Photos

Max. file size: 4 MB.

Please upload up to 4 photos. (Optional)

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