Speaker Interest Form

Interest form for Christian speakers for Fierce Entrepreneur Summit.

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Question 1 of 6

First and Last Name

Paragraph answer

Question 2 of 6

Email Address

Paragraph answer

Question 3 of 6

Do you have a website? If so please provide the link below.

Paragraph answer

Question 4 of 6

Please provide your social media account links or handles. Facebook, Instagram, Twitter, etc

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Question 5 of 6

Are you available on November 11 or 12, 2022 for 30 minutes between 10 am and 4 pm PST?

(Select all that apply)

A

Yes

B

No

Question 6 of 6

Please provide a brief paragraph describing the title of description of the speech you are proposing. ( Speaking time would be 20 minutes + 10 min Q&A)

Paragraph answer

Confirm and Submit

Name

Email

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