Speaker Detail Form

Please provide us with the following details to ensure you are appropriately represented to our potential and confirmed attendees.
Your Name*
First Last
Contact Email*

This will not be shared or published.
Job Title
Company Name*
Biography (100 words or less)*
Please don't share sensitive data such as religious or political affiliation, personal address, phone number etc.
Your Photo
Max. file size: 4 MB.
Recommended minimum size 300px x 300px. Max file size 4MB.
Company Logo
Max. file size: 4 MB.
Recommended minimum size (long side of logo) 150px. Max file size 4MB.
The social media information is requested so that we can tag you in reference to your session.
Twitter Handle
LinkedIn ID
Facebook ID
Instagram ID
Hidden
Event App for Social Engagement
- Yes, please add my profile to the LocWorld network.
  (You can opt to join but not be contacted by anyone through the app)
- No, I don't want a LocWorld profile.
  ( By selecting no, you will only show up on the program, not as an attendee or participant of the conference)
Hidden
locworld.com Speaker Profile
- Please create a LocWorld speaker profile for me.
- No, I don't want my profile added to the LocWorld program.
  (By selecting no, you will not be recognized as a speaker on the LocWorld website or program)
Hidden
LocWorld Publicity
- Yes, my name and company may be used to publicize the event
- No, please do not use my data to promote LocWorld
By submitting this form you agree to our Privacy Policy. If you wish to edit or delete your personal data, refer to our Privacy Tools page.
Name
This field is for validation purposes and should be left unchanged.