Speaker Info Collection – The Coptic Center

Speaker Info

Basic Info

Full Name as you'd like it used for promotion

Email Address

Promotional Photo

Choose Image

Mailing Address

Address Line 1

Address Line 2

City

State

Post / Zip Code

Country

Phone Number

Social Security Number / Tax ID Number

If you feel uncomfortable entering that here, please call our office at (616) 531-1339.

Name to which payment should be made payable.

Info on Your Presentation

Title of Your Presentation

Brief description of what will be covered in your presentation, and how the audience will benefit from it

Keep in mind that the core topic of this conference is working together in harmony. Also, this is your 30-second "elevator pitch" to inspire someone to attend the conference. Don't worry too much about the exact wording, as our marketing team will work their magic to make it sizzle.

Are you comfortable pre-recording your presentation?

Yes

No, I want to do this live at the event

Would you like help with pre-recording your presentation?

Yes

Preferred Time to do a presentation? (either live or for a recording)

Morning

Afternoon

Any time

Info to Help Us Promote You

Your Website (We will promote this before, during, and after our event)

For best results, this should be a link to a page offering a free gift in exchange for signing up for your mailing list.

What do folks get when joining your mailing list?

Brief Bio (50 - 75 words. Will be used in email promotions)

Make sure to include credentials, such as number of books written, number of clients, celebrity clients, etc., as well as the primary benefit folks get when experiencing your products, services, or community. Your website URL will be added to this, so there's no need to include it here.

Longer Bio (200+ words to be used on a webpage devoted to promoting you on our website)

Any other comments you'd like to share (optional)

Key dates to keep in mind:

December 8th - Submit this form
January 8th - Event promotion begins
February 9th - Submit pre-recorded presentation and/or list of requirements for your presentation
March 2nd - 2024 Coptic Conference Event

I agree to promote this event at least twice in the month preceding the event.

I have read and agree to the Speaker Agreement.

Workshop

I would like to get more information about presenting a workshop to the Coptic audience after the conference.

This can be another opportunity for you to earn money from the conference.

Thank you for accepting our invitation to speak at the Coptic Conference on March 2nd, 2024.

Basic Info

Info on Your Presentation

Info to Help Us Promote You

Thank you for accepting our invitation to speak
at the Coptic Conference on March 2nd, 2024.