Potential Guest Speaker Form

Would you like to present for the Whitehorse Business Group's members?

We would love to hear from you, please complete this form and we will be in touch with you shortly.

Name
Business Name
Address
Phone Number
Email Address *
Bio & Headshot
Links to other speaker-related information
Links to publications
Title of talk
Description of talk
Target audience
Ideal room set-up (theatre style, round table, etc)
What is the number of guests that you predict will be attracted to your presentation
Duration of your presentation
Availability to present during the year
We have permission to post this presentation on our website: Yes No
We have permission to circulate this presentation to unavailable members: Yes No
Do you consent to live streaming?: Yes No

* = Required Fields