Become a Speaker in Carlsbad Chamber of Commerce's Speaker Bureau

Become a Speaker

First Name:*
Last Name:*
Company:*
Address:
City:
State:
Zip:
Phone:*
Fax:
Email:*
Website URL:
Presentation Titles (list one per line):
Presentation Category(s):*	hold down the ctrl key to select multiple categories
References of people who have heard you speak: (up to four)
Date of your Next Presentation:
Speaker Biography:*
Upload Photo:
I agree to the following guidelines: 99% of the content of my presentation will be information and/or entertainment driven 1% of the content of my presentation will be oriented toward selling my product and/or service

Please note: This is an application and acknowledgement form only and is subject to evaluation and revocation by the Carlsbad Chamber of Commerce. All information provided may be published on the Chamber's website.