For the moment this is a one-shot form, meaning we have not created a log-in process to allow you to manage this information.  If you have not done so already, we suggest you capture your information in a document first and then fill in this form. Changes must been submitted directly so please try to get it right in the first shot.


  • Accepted file types: jpg, png.
  • Only to be used upon request
  • 200 Words Maximum
  • Must include names and organizations
  • Anything you would like to add to help us market you.
  • If available - you on stage or presenting to an audience
  • Those chapters you are currently contracted with or in discussion or worked with within the past year. Local chapters are automatically protected. Please list as well with a note "Local:"
  • title, type (keynote/track/Wshop), duration ONLY please