Capital Conference Speaker Agreement

Speaker Information

Please enter in your Name, Title and Organization fields as you would like printed in the Capital Conference Program.

First Name *

Last Name *

Title *

Organization *

Phone Number *

Email Address *

Twitter Handle

Mailing Address (include city, state, zip) *

Bio *

Professional Photo Attachment

Maximum upload size: 9.73MB

Permission *

I grant permission for MML to use my name, title, company affiliation, photo, professional bio and any presentation(s) for the promotion of the Capital Conference.

Do you have any special dietary needs or food allergies? Please specify.

Emergency Contact

Contact Name *

Phone Number *

Travel Plans

We ask all speakers to arrive at least one hour before your scheduled speaking time. Please check in at our registration desk and let the attendants know if you have any edits to your presentation, they will connect you with our AV team. If you would like to attend other portions of the event, please email Sarah Martin at smartin@mml.org to get information about registering for the event.

Scheduled Arrival Date *

Scheduled Arrival Time *

Agreements *

I agree to meet target due dates for all deliverables to the best of my ability.

I agree to assist MML in finding a replacement if I am unable to participate.