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Summit Speaker Info

Summit Speaker Info


Thanks for your interest in being a presenter at the Regeneration Nation Summit.
In this short form, I’ll ask you to share some information to help me better understand what you have to offer our viewers, how I can best promote your product or service, and how to best present you to our audience.

Thanks in advance for answering these questions. It’ll help assure we provide the best value possible for your project, as well as for our Summit attendees!

*Your information will not be shared with any third parties.

First Name*
Last Name
Email*

Your Project's Name(s)

URL
Phone*

Personal Bio

0 of 500

Business Bio

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Do you prefer to prepare a 20-30 minute presentation, yourself, and send us a recording to publish, or do you prefer that we record your presentation interview style on a video call?
Pre-recorded Presentation
Schedule a video call.
Do you have your own blog, YouTube channel, or other media channels that you share ideas through?
Additional Products or Services
Do you accept to the terms described in the Media Release Form?
I accept  (I'll email you a copy to sign, once you complete this form)
I do not accept
Upload a logo and a headshot for us to use in your Speaker Profile page (You can send us as many as 5 to choose from): *
Drag and drop files here
- or -
Select files
Is it okay for Regeneration Nation Costa Rica to contact you regarding future promotions or updates to the podcast?
  Yes (Your information will not be shared with any third parties.)
  No (I don’t want to be kept informed of future developments with Regeneration Nation Costa Rica.)

Comments or Questions

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