Conference Speaker Form:

Thanks for sharing in a General Session or Breakout Session at LTG Conference. Please complete and submit the form below for the session(s) you are speaking. Thank You!

Please complete the form below

Name *
Name
Please email a hi-res headshot to contact@leadthegeneration.com
Address *
Address
Mobile Phone *
Mobile Phone
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* Required for Breakout Sessions, but not if you are speaking for a General Session.
* Required for Breakout Sessions, but not General Sessions.
*This is only if you are teaching 2 Breakout sessions and your second session is different from the first.
* Required for Breakout Sessions, but not General Sessions.
Do you plan to use media (keynote, video, etc.)? *
Media Note: Each room used for sessions will be equipped with media equipment that will allow for you to connect your personal computer loaded with your presentation. We recommend that you come prepared with the necessary adaptors to connect to an HDMI cable.
I recognize that my session will be recorded. *
By selecting YES you are entering into an Assignment of Rights and Photo/Video Authorization agreement. The agreement states that the speaker (you) authorizes the ministry (LTG) to take photographic images of Speaker’s appearance and to make audio and video recording of the Speaker Conference Presentation. The Speaker hereby conveys and assigns to Ministry, exclusively, perpetually and royalty-free, all Distribution Rights of Speaker relating to the Speaker Conference Presentation. The Speaker represents to Ministry that Speaker is the sole owner of any and all Distribution Rights relating to the Speaker Conference Presentation and that such presentation does not make unauthorized use of any content belonging to another person or entity and does not otherwise infringe upon the rights of other entities or persons. The Ministry agrees that, whenever it uses the Speaker Presentation Distribution Rights, it shall identify Speaker (and any organization with which Speaker is directly affiliated) and shall give express attribution to Speaker as the author of the Speaker Conference Presentation materials. The Ministry shall be solely responsible for any and all costs relating to its use of the Speaker Presentation Distribution Rights, including any federal, state or local taxes of any kind (including without limitation sales taxes). Ministry further shall be solely responsible for compliance with any federal, state or local laws or regulations applicable to distribution and sale activities undertaken by Ministry in using the Speaker Presentation Distribution Rights.
 
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