Sponsor Speaker Form

Diamond and Platinum sponsors in San Francisco and New York, and Platinum sponsors in Chicago, Boston and Seattle may present a 10-minute presentation (e.g., case study, fireside chat with client, etc.). Women in Retail Leadership Circle will confirm exact timing of the presentation three weeks prior to the event. Please fill out this form to provide information about your speaker(s). This information will be published on the website, printed agenda, and other promotional materials.

Are you filling this out as a speaker or on behalf of a speaker?*
Which sponsor is this speaker associated with?*
Which On the Road city is this speaker attending?*
Speaker full name*
Speaker title*
Speaker Company Name*
Short Speaker bio*
Speaker Email*
Speaker Phone #*
We will only contact in case of emergency
Headshot
Drop files here or

Accepted file types: jpg, png, jpeg, Max. file size: 49 MB.
Please upload a high-res headshot of the speaker, JPG, PNG or JPEG.
Will the speaker be using the podium on stage?*
Will the speaker use a confidence monitor for notes on stage?*
Will the speaker have a Powerpoint Presentation or video?*
Powerpoint Presentations/videos must be submitted separately no later than 2 weeks prior to the event. All decks MUST be in a PowerPoint format with no special fonts. If the presentation includes a video, please send the video file separately as well. For any questions about the sponsor speaker's presentation, please email shendrickson@napco.com.