BEPC CONSCIOUS WELLNESS EXPO SPEAKER REGISTRATION FORM
We are pleased to invite you to participate in the BEPC Conscious Wellness Expo as a Speaker. To be an Expo Speaker, you must be registered as a Vendor (Full or a Half Booth). We do not pay our Expo Speakers, and there is no charge to you. (Registration closes March 25, 2024)

To apply, submit this application, sign the included release, and send your photo to BEPCexpo@gmail.com and Laureli@ThriveTypes.com.
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Which day are you applying to speak?
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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 *
Mailing 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)
What are your preferred talk times? [11am (Sat Only), 12pm, 1pm, 2pm, 3pm, 4pm , 5pm (Sat Only)]
Please note any special needs (we have one TV and access to electricity if you would like to bring your own AV; we do not record your talk, although you are welcome to).
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