OIVAC Speaker Registration Form

Presenter's Name:
Phone:
Address:
City:
State/Prov:
Zip/Postal:
Country:
Company Name:
Email:
Your Website URL:
Your Speaking Niche:
Presentation Title:
Presentation Description: 100 Words maximum, used in promotional materials
Presentation Objectives/Benefits: (ie: What will participants get from your presentation?)
Describe Past Speaking Experience
Brief Biography (60 words suitable to use for an introduction)
Description of Your Giveaway (Include a brief description of any giveaway (pdf, workbook, coupon, etc.) or nontangible item (service, benefit, subscription, etc.) for posting on the website.)
Important Note: Along with your application, we may request a pre-recorded 2 to 5 minute audio or video sample of you speaking for our review (Does not have to be about the subject of your presentation). Submit your recording to speakers@oivac.com. Our email contact form is used in order for us to consider your submission. Information collected WILL NOT be shared or sold to other organizations for commercial purposes.

Don't forget to email your photo and/or your downloadable giveaway to speakers@oivac.com.