Email Address

Website

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Social Media Handles

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Please provide a 500 word or less mini bio.

Please tell us about your platform's mission and vision?

What are 3-5 key points you can share on this topic?

What is experimental and/or interactive aspect(s) of your presentation?

What is one take away that you want the audience to remember and take away from this presentation?

How did you hear about us?

Have you attended any of our past events? If so, which ones?

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City, State

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