Request a Speaker

If you would like to have an IEG sponsorship consultant speak at your next event, please complete the following form. Your request will be responded to promptly. Thank you.

Your First Name	Your Last Name
Company Name
Phone Number ( ) -	Email Address
Website	Event Name
Event Dates	Date and Time of IEG Session
Event Location (city, state or country):	Event Venue (name of hotel/meeting center):

Brief Description of Audience
(including level of sponsorship experience)

If available, please attach a list of previous year’s attendees:

Upload:

Number of Attendees at Event

Anticipated Number of Attendees at IEG Session

Type of Presentation Requested
(keynote, break-out session, panel, etc.)

IEG Proposed Topic

Additional Comments

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