BEPC Monthly Meeting Presenter Application
We are pleased you are interested in being a Presenter at a BEPC monthly meeting. 

To apply, submit this application, sign the included release, and send your photo to BEPCexpo@gmail.com.
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Email *
Business Name (or we'll use the Applicant's Name below)
Applicant's First Name (your first name) *
Applicant's Last Name (your last name) *
All Your Relevant Phone Numbers (cell preferred) *
Email Address *
Website URL
Facebook
Twitter
Title of Your Talk (if you sign up early, you'll have an opportunity to edit it) *
2-3 Sentences About Your Talk (if you sign up early, you'll have a chance to edit this)
2-3 Sentences About You (if you sign up early, you'll have a chance to edit this)
Which months would you like for your presentation? 
(select 3 choices)
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