Please provide your speaker information here. We will use this information for the @Scale agenda and web site.

Thank you for your submission! We’ll be in touch shortly.

[fu-upload-form form_layout=”post_media” post_type=”speaker”]

[input type=”text” name=”first_name” id=”speaker_first_name” class=”required” description=”First Name”][/input]
[input type=”text” name=”post_title” id=”speaker_last_name” class=”required” description=”Last Name”][/input]
[input type=”text” name=”job_title” id=”speaker_job_title” class=”required” description=”Job Title”][/input]
[input type=”text” name=”company_name” id=”speaker_company_name” class=”required” description=”Company Name”][/input]
[input type=”text” name=”email” id=”speaker_email” class=”required” description=”Email”][/input]
[input type=”text” name=”phone” id=”speaker_phone” class=”required” description=”Mobile Phone Number”][/input]
[input type=”text” name=”session_title” id=”speaker_session_title” class=”required” description=”Session Title”][/input]
[input type=”text” name=”session_abstract” id=”speaker_session_abstract” class=”required” description=”Session Abstract”][/input]
[textarea name=”post_content” class=”textarea” id=”speaker_bio” class=”required” description=”Speaker Biography”]
Maximum: words. Used:

Upload a headshot

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[input type=”file” name=”photo” id=”ug_photo” class=”required” description=”Your Photo” multiple=”multiple”]

Agree to Speaker Release

I allow, the organizers of @Scale to record, stream, post and distribute my presentation and make the recording available online after the event.

[checkboxes name=”agree” class=”checkboxes” class=”required” description=”Yes, I agree” values=”value:agree”]

[input type=”submit” class=”btn” value=”Submit Information”]

[/fu-upload-form]

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