SPEAKER SUBMISSION ENTRY FORM

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Welcome to the speaker submissions form for Realscreen West 2022. Please fill out the fields below to complete your speaker submission, and the Realscreen content team will be in touch should anything transpire that is an appropriate fit for the upcoming event.

Please note that due to the high volume of requests, we may not be able to respond to all speaker and content submissions. We appreciate your interest in Realscreen West and will be in touch if we have any questions.

SECTION A — APPLICANT INFORMATION
Contact Name for Submission:	(*Required)
Contact Email:	(*Required)
Speaker Name:	(*Required)
Speaker Title:	(*Required)
Speaker Company:	(*Required)
Speaker Bio:	max. 150 words (*Required)

Speaker's Topics of Interest:	(*Required)
Session Ideas (Topics you would like to pitch for this speaker, if applicable):
Supporting Materials (Additional Speaker Details, Session Ideas, Etc.)	**Maximum One (.DOC, .PDF) Attachment