Speaker Application 
Please complete this form to apply to be a speaker at the Canada Hypnosis Conference taking place October 13-15, 2023 in Toronto, Ontario. 

Note: If you are approved as a speaker, the information in this form will be copied to the Canada Hypnosis Conference website and may be used in social media posts. Please ensure you fill out the form completely and use professional and grammatically correct language to describe how you want you and your training to be promoted.

If you are approved, we will ask you to email us a professional headshot for use on the website and in social media posts.
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E-post *
Name *
Phone *
Address *
Website *
Social Media Links *
Speaker Bio *
Conference Topic #1 - Please include the title of your training, length of training (50 minutes minimum), and a short description. *
Conference Topic #2 - Please include the title of your training, length of training (50 minutes minimum), and a short description.
Conference Topic #3 - Please include the title of your training, length of training (50 minutes minimum), and a short description.
Pre-conference and/or post-conference training Proposal #1 - Please include the title of your training, length of training, cost, and a short description, plus any other relevant information.

This is optional and there are very limited opportunities available.

Pre-conference and/or post-conference training Proposal #2 - Please include the title of your training, length of training, cost, and a short description, plus any other relevant information.

This is optional and there are very limited opportunities available.

Pre-conference and/or post-conference training Proposal #3 - Please include the title of your training, length of training, cost, and a short description, plus any other relevant information.

This is optional and there are very limited opportunities available.

Do you want a vendor table to sell products and/or services at the conference?  *
Do you have anything to provide for the conference swag bags or Saturday evening prize draws?

If yes, please provide details.
Other comments (optional)
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