October 21, 2015 adminSpeaker Information Company2016 Knowledge is Money Summit: April 8 & 9, 2016Please fill out this form so that we know how to accommodate you during your stay in Asheville and how to properly promote you at the event!Note that many of the fields are required. The form will not be submitted until all required fields are complete.Contact Info First name * Last name * Email Address * For Promotional Purposes Website URL provide a link to your website (optional) LinkedIn Profile provide a link to your LinkedIn profile (optional) Facebook Page provide a link to your Facebook page (optional) Twitter provide a link to your Twitter account (optional) Bio *please provide a short bio Business Name Please provide your business name, if appropriate. Title Please provide your title, if appropriate. Headshot Add Files Please upload a photo for use on our website. JPGs (preferred) and PNGs only, please. City & State * Where are you from?For your stay in Asheville Dietary Restrictions? Gluten Free Dairy Free Vegetarian Vegan Other Check all that apply. Alcohol Preference Beer Wine SpiritsWhat is your alcohol preference? Beer, Wine, or?? Alcohol Type For each, what type do you prefer? For instance, Chardonnay? Stout? Etc? Garnishes What beverage garnishes do you prefer? For Instance, lemon or limes? Accommodations Provided at Hart House - Will you accept? * Yes, I will stay at Hart House Yes, I will stay at Hart House, but I prefer a different room No, I prefer to stay in a hotel Please see room assignment info in the accompanying email. Will you bring a guest? * yes no For your presentation Will you consent to being recorded on video? * yes no We will be filming the conference. Do we have your consent to record your presentation for future [unlimited] promotional use? Presentation Materials *What type of presentation are you planning? Will you need the ability to show a PowerPoint? Are you bringing printed materials? Please provide any information that would help us make your presentation go smoothly. Presentation Title * Please provide the title of your presentation, to be included on the website and printed materials. Presentation Synopsis *Please provide a brief description of your presentation to be included on the website and printed materials. Will you be promoting a product or event? *If so, please describe. Will you need a table for your marketing materials at the event? * yes no Are you willing to promote this conference to your contact list(s)? * yes no If yes, we will follow up soon with a special link containing tracking data.Travel Details Date of Arrival * Date of Departure * How will you be arriving? * How are you leaving? *
