TTS Speaker and Moderator Registration Form

TTS Speaker & Moderator Registration Form

Speaker /Moderator Information

Complimentary in-person registration is automatically provided to confirmed Speakers & Moderators. The entire training includes all education sessions, Solutions Hall, and the ability to earn up to 6 CPEs.

Name(Required)

Prefix First Last

I'm presenting as:(Required)

Speaker

Moderator

I'm attending:(Required)

The Full Training

Just my session

Informal name for badge:

Company / Agency:(Required)

Job Title(Required)

Email(Required)

This email address will be used for confirmations, updates, and badge pick-up instructions. Exhibitors and sponsors are permitted a one-time use of attendee email addresses for promotional purposes unless you check the consent box. We will NOT sell your email address.

Alternate Email Address (Optional)

Provide a backup email in case your primary email is unavailable, so you don’t miss any event updates or confirmations. We will NOT sell your email address.

Phone

Upload Bio & Headshot

Please include a short bio (max 75-100 words) and a headshot in .jpg or .png in High-resolution (300 dpi preferred)

Drop files here or

Max. file size: 7 MB.

Speaking Session Details

Select your session(s) from the drop-down menu:

Select your session(Required)

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TTS Speaker and Moderator Registration Form

TTS Speaker & Moderator Registration Form

Speaker /Moderator Information

Speaking Session Details