Event Host or Speaker Application Form Put your business at centre stage during an Edmonton Chamber event by being an event host or speaker! Are you currently a member of good standing with the Edmonton Chamber of Commerce? * Yes No Company/Business Name: * Please provide your name: Title First Name * Last Name * Suffix Phone Number * Email Address * Company Website * If applying for venue host, please provide your location details: Address Line 1 Address Line 2 City Province Select option... Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Postal Code Size of venue or other details (max. capacity, seating, flexible space, indoor/outdoor, etc.) * If you are not the proposed speaker/presenter, please provide the name, email address and phone number of the speaker: (If you are the proposed event speaker, please proceed to the next question) Company Website * Proposed title of the event: * Please provide a brief overview of your company (50 words or less): Brief overview of your proposed presentation/topic: Have you presented on this topic previously? If yes, please elaborate on the event.(When was it? How did it go? How did the guests react? Any feedback? etc.) Which of our pillars does your presentation best align with? * Advocate (Government, policy, advocacy & outreach) Educate Connect By checking this box, you agree that all the above information is true and accurate, and agree that you are able to fulfill the requirements of being an event speaker, including having a meeting or phone conversation with the Chamber prior to the Chamber agreeing to invite you as a speaker. You understand that you will be placed into an event speaker queue until a suitable event is found for you and your expertise. Please note that not all those who apply to speak at an event or host an event will be selected, and that only successful applicants will be contacted by the Chamber. * I Agree
