Speaker Information Form

Please answer the questions below to help us with speaker registration. We need the following information to help with marketing the classes we will have, as well as representing you accurately and making sure you receive not only acceptable mileage repayment, but also your honorarium for speaking at our event. This will also help us keep track of anyone that meets the IRS amounts for additional forms. If you are not sure about your topic yet, please contact the speaker coordinator before submitting this form so we have the correct information. Thank you.