CIO Peer Forum Speaker Details Form Speaker First Name Speaker Last Name Speaker Phone Number for day of event Speaker Email Does CIOCAN have permission to post a pdf or recorded version of the presentation in the Members Only area of our website Yes. The presentation may be posted. No. The presentation may not be posted. The standard audio visual we offer is: Data projector, Screen, Sound output, Ability to run video, Microphone (lavalier or podium depending on the room). Is there anything else you require? As a speaker, you are invited to attend the full conference as our guest. Please indicate which dates you will be attending the conference. April 10 only April 11 only Full conference My speaking session only Do you have any special dietary restrictions we need to know about? Website/URL Speaker Social Media Handles We encourage speakers to submit a blog post of 500 - 800 words in length to support their session. It can be something you have already written or something new. Indicate if you are able to provide a blog post. Yes I will provide a blog post No, I am not able to provide a blog post If you are providing a blog post, do we have your permission to cross post it in other media outlets with proper identification as to the source. Yes, you have permission to cross-post No, you do not have permission to cross-post Upload a selfie to promote the Peer Forum (1-2 minutes only!) Drop a file here or click to upload Choose File Maximum file size: 52.43MB Submit CIO Peer Forum Speaker Details Form Speaker First Name Speaker Last Name Speaker Phone Number for day of event Speaker Email Does CIOCAN have permission to post a pdf or recorded version of the presentation in the Members Only area of our website Yes. The presentation may be posted. No. The presentation may not be posted. The standard audio visual we offer is: Data projector, Screen, Sound output, Ability to run video, Microphone (lavalier or podium depending on the room). Is there anything else you require? As a speaker, you are invited to attend the full conference as our guest. Please indicate which dates you will be attending the conference. April 10 only April 11 only Full conference My speaking session only Do you have any special dietary restrictions we need to know about? Website/URL Speaker Social Media Handles We encourage speakers to submit a blog post of 500 - 800 words in length to support their session. It can be something you have already written or something new. Indicate if you are able to provide a blog post. Yes I will provide a blog post No, I am not able to provide a blog post If you are providing a blog post, do we have your permission to cross post it in other media outlets with proper identification as to the source. Yes, you have permission to cross-post No, you do not have permission to cross-post Upload a selfie to promote the Peer Forum (1-2 minutes only!) Drop a file here or click to upload Choose File Maximum file size: 52.43MB Submit CIO Peer Forum Speaker Details Form Speaker First Name Speaker Last Name Speaker Phone Number for day of event Speaker Email Does CIOCAN have permission to post a pdf or recorded version of the presentation in the Members Only area of our website Yes. The presentation may be posted. No. The presentation may not be posted. The standard audio visual we offer is: Data projector, Screen, Sound output, Ability to run video, Microphone (lavalier or podium depending on the room). Is there anything else you require? As a speaker, you are invited to attend the full conference as our guest. Please indicate which dates you will be attending the conference. April 10 only April 11 only Full conference My speaking session only Do you have any special dietary restrictions we need to know about? Website/URL Speaker Social Media Handles We encourage speakers to submit a blog post of 500 - 800 words in length to support their session. It can be something you have already written or something new. Indicate if you are able to provide a blog post. Yes I will provide a blog post No, I am not able to provide a blog post If you are providing a blog post, do we have your permission to cross post it in other media outlets with proper identification as to the source. Yes, you have permission to cross-post No, you do not have permission to cross-post Upload a selfie to promote the Peer Forum (1-2 minutes only!) Drop a file here or click to upload Choose File Maximum file size: 52.43MB Submit CIO Peer Forum Speaker Details Form Speaker First Name Speaker Last Name Speaker Phone Number for day of event Speaker Email Does CIOCAN have permission to post a pdf or recorded version of the presentation in the Members Only area of our website Yes. The presentation may be posted. No. The presentation may not be posted. The standard audio visual we offer is: Data projector, Screen, Sound output, Ability to run video, Microphone (lavalier or podium depending on the room). Is there anything else you require? As a speaker, you are invited to attend the full conference as our guest. Please indicate which dates you will be attending the conference. April 10 only April 11 only Full conference My speaking session only Do you have any special dietary restrictions we need to know about? Website/URL Speaker Social Media Handles We encourage speakers to submit a blog post of 500 - 800 words in length to support their session. It can be something you have already written or something new. Indicate if you are able to provide a blog post. Yes I will provide a blog post No, I am not able to provide a blog post If you are providing a blog post, do we have your permission to cross post it in other media outlets with proper identification as to the source. Yes, you have permission to cross-post No, you do not have permission to cross-post Upload a selfie to promote the Peer Forum (1-2 minutes only!) Drop a file here or click to upload Choose File Maximum file size: 52.43MB Submit CIO Peer Forum Speaker Details Form Speaker First Name Speaker Last Name Speaker Phone Number for day of event Speaker Email Does CIOCAN have permission to post a pdf or recorded version of the presentation in the Members Only area of our website Yes. The presentation may be posted. No. The presentation may not be posted. The standard audio visual we offer is: Data projector, Screen, Sound output, Ability to run video, Microphone (lavalier or podium depending on the room). Is there anything else you require? As a speaker, you are invited to attend the full conference as our guest. Please indicate which dates you will be attending the conference. April 10 only April 11 only Full conference My speaking session only Do you have any special dietary restrictions we need to know about? Website/URL Speaker Social Media Handles We encourage speakers to submit a blog post of 500 - 800 words in length to support their session. It can be something you have already written or something new. Indicate if you are able to provide a blog post. Yes I will provide a blog post No, I am not able to provide a blog post If you are providing a blog post, do we have your permission to cross post it in other media outlets with proper identification as to the source. Yes, you have permission to cross-post No, you do not have permission to cross-post Upload a selfie to promote the Peer Forum (1-2 minutes only!) Drop a file here or click to upload Choose File Maximum file size: 52.43MB Submit CIO Peer Forum Speaker Details Form Speaker First Name Speaker Last Name Speaker Phone Number for day of event Speaker Email Does CIOCAN have permission to post a pdf or recorded version of the presentation in the Members Only area of our website Yes. The presentation may be posted. No. The presentation may not be posted. The standard audio visual we offer is: Data projector, Screen, Sound output, Ability to run video, Microphone (lavalier or podium depending on the room). Is there anything else you require? As a speaker, you are invited to attend the full conference as our guest. Please indicate which dates you will be attending the conference. April 10 only April 11 only Full conference My speaking session only Do you have any special dietary restrictions we need to know about? Website/URL Speaker Social Media Handles We encourage speakers to submit a blog post of 500 - 800 words in length to support their session. It can be something you have already written or something new. Indicate if you are able to provide a blog post. Yes I will provide a blog post No, I am not able to provide a blog post If you are providing a blog post, do we have your permission to cross post it in other media outlets with proper identification as to the source. Yes, you have permission to cross-post No, you do not have permission to cross-post Upload a selfie to promote the Peer Forum (1-2 minutes only!) Drop a file here or click to upload Choose File Maximum file size: 52.43MB Submit CIO Peer Forum Speaker Details Form Speaker First Name Speaker Last Name Speaker Phone Number for day of event Speaker Email Does CIOCAN have permission to post a pdf or recorded version of the presentation in the Members Only area of our website Yes. The presentation may be posted. No. The presentation may not be posted. The standard audio visual we offer is: Data projector, Screen, Sound output, Ability to run video, Microphone (lavalier or podium depending on the room). Is there anything else you require? As a speaker, you are invited to attend the full conference as our guest. Please indicate which dates you will be attending the conference. April 10 only April 11 only Full conference My speaking session only Do you have any special dietary restrictions we need to know about? Website/URL Speaker Social Media Handles We encourage speakers to submit a blog post of 500 - 800 words in length to support their session. It can be something you have already written or something new. Indicate if you are able to provide a blog post. Yes I will provide a blog post No, I am not able to provide a blog post If you are providing a blog post, do we have your permission to cross post it in other media outlets with proper identification as to the source. Yes, you have permission to cross-post No, you do not have permission to cross-post Upload a selfie to promote the Peer Forum (1-2 minutes only!) Drop a file here or click to upload Choose File Maximum file size: 52.43MB Submit CIO Peer Forum Speaker Details Form Speaker First Name Speaker Last Name Speaker Phone Number for day of event Speaker Email Does CIOCAN have permission to post a pdf or recorded version of the presentation in the Members Only area of our website Yes. The presentation may be posted. No. The presentation may not be posted. The standard audio visual we offer is: Data projector, Screen, Sound output, Ability to run video, Microphone (lavalier or podium depending on the room). Is there anything else you require? As a speaker, you are invited to attend the full conference as our guest. Please indicate which dates you will be attending the conference. April 10 only April 11 only Full conference My speaking session only Do you have any special dietary restrictions we need to know about? Website/URL Speaker Social Media Handles We encourage speakers to submit a blog post of 500 - 800 words in length to support their session. It can be something you have already written or something new. Indicate if you are able to provide a blog post. Yes I will provide a blog post No, I am not able to provide a blog post If you are providing a blog post, do we have your permission to cross post it in other media outlets with proper identification as to the source. Yes, you have permission to cross-post No, you do not have permission to cross-post Upload a selfie to promote the Peer Forum (1-2 minutes only!) Drop a file here or click to upload Choose File Maximum file size: 52.43MB Submit CIO Peer Forum Speaker Details Form Speaker First Name Speaker Last Name Speaker Phone Number for day of event Speaker Email Does CIOCAN have permission to post a pdf or recorded version of the presentation in the Members Only area of our website Yes. The presentation may be posted. No. The presentation may not be posted. The standard audio visual we offer is: Data projector, Screen, Sound output, Ability to run video, Microphone (lavalier or podium depending on the room). Is there anything else you require? As a speaker, you are invited to attend the full conference as our guest. Please indicate which dates you will be attending the conference. April 10 only April 11 only Full conference My speaking session only Do you have any special dietary restrictions we need to know about? Website/URL Speaker Social Media Handles We encourage speakers to submit a blog post of 500 - 800 words in length to support their session. It can be something you have already written or something new. Indicate if you are able to provide a blog post. Yes I will provide a blog post No, I am not able to provide a blog post If you are providing a blog post, do we have your permission to cross post it in other media outlets with proper identification as to the source. Yes, you have permission to cross-post No, you do not have permission to cross-post Upload a selfie to promote the Peer Forum (1-2 minutes only!) Drop a file here or click to upload Choose File Maximum file size: 52.43MB Submit CIO Peer Forum Speaker Details Form Speaker First Name Speaker Last Name Speaker Phone Number for day of event Speaker Email Does CIOCAN have permission to post a pdf or recorded version of the presentation in the Members Only area of our website Yes. The presentation may be posted. No. The presentation may not be posted. The standard audio visual we offer is: Data projector, Screen, Sound output, Ability to run video, Microphone (lavalier or podium depending on the room). Is there anything else you require? As a speaker, you are invited to attend the full conference as our guest. Please indicate which dates you will be attending the conference. April 10 only April 11 only Full conference My speaking session only Do you have any special dietary restrictions we need to know about? Website/URL Speaker Social Media Handles We encourage speakers to submit a blog post of 500 - 800 words in length to support their session. It can be something you have already written or something new. Indicate if you are able to provide a blog post. Yes I will provide a blog post No, I am not able to provide a blog post If you are providing a blog post, do we have your permission to cross post it in other media outlets with proper identification as to the source. Yes, you have permission to cross-post No, you do not have permission to cross-post Upload a selfie to promote the Peer Forum (1-2 minutes only!) Drop a file here or click to upload Choose File Maximum file size: 52.43MB Submit CIO Peer Forum Speaker Details Form Speaker First Name Speaker Last Name Speaker Phone Number for day of event Speaker Email Does CIOCAN have permission to post a pdf or recorded version of the presentation in the Members Only area of our website Yes. The presentation may be posted. No. The presentation may not be posted. The standard audio visual we offer is: Data projector, Screen, Sound output, Ability to run video, Microphone (lavalier or podium depending on the room). Is there anything else you require? As a speaker, you are invited to attend the full conference as our guest. Please indicate which dates you will be attending the conference. April 10 only April 11 only Full conference My speaking session only Do you have any special dietary restrictions we need to know about? Website/URL Speaker Social Media Handles We encourage speakers to submit a blog post of 500 - 800 words in length to support their session. It can be something you have already written or something new. Indicate if you are able to provide a blog post. Yes I will provide a blog post No, I am not able to provide a blog post If you are providing a blog post, do we have your permission to cross post it in other media outlets with proper identification as to the source. Yes, you have permission to cross-post No, you do not have permission to cross-post Upload a selfie to promote the Peer Forum (1-2 minutes only!) Drop a file here or click to upload Choose File Maximum file size: 52.43MB Submit CIO Peer Forum Speaker Details Form Speaker First Name Speaker Last Name Speaker Phone Number for day of event Speaker Email Does CIOCAN have permission to post a pdf or recorded version of the presentation in the Members Only area of our website Yes. The presentation may be posted. No. The presentation may not be posted. The standard audio visual we offer is: Data projector, Screen, Sound output, Ability to run video, Microphone (lavalier or podium depending on the room). Is there anything else you require? As a speaker, you are invited to attend the full conference as our guest. Please indicate which dates you will be attending the conference. April 10 only April 11 only Full conference My speaking session only Do you have any special dietary restrictions we need to know about? Website/URL Speaker Social Media Handles We encourage speakers to submit a blog post of 500 - 800 words in length to support their session. It can be something you have already written or something new. Indicate if you are able to provide a blog post. Yes I will provide a blog post No, I am not able to provide a blog post If you are providing a blog post, do we have your permission to cross post it in other media outlets with proper identification as to the source. Yes, you have permission to cross-post No, you do not have permission to cross-post Upload a selfie to promote the Peer Forum (1-2 minutes only!) Drop a file here or click to upload Choose File Maximum file size: 52.43MB Submit
