Speak For Us

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Speaker application form.

First Name

Last Name

Personal Telephone

Email Address

Business Name

Business Telephone

Business Address (if applicable)

Business Website

Profession Title

Social Media Handles (if applicable)

Do you have public speaking experience: Yes or No Do you have public speaking experience: Yes or No Yes No

Please include a short bio about yourself max 300 words

In max 250 words, summarize what you would like to talk about at the meeting

Do you need equipment (microphone, projector, podium, table - Please specify anything needed). Will you have visual aids?

If your Application has been successfully sent, A successful message will replace the form. Please check that information is entered into all fields. The application will not be submitted if one field is blank. Fields not filled in correctly will be outlined in red. Please contact us if you have any trouble submitting.

Ladies Who Lead is a network of dynamic professional women who believe that by Building Business, Building Self, Building Relationships and Building Community, we can lift each other up to achieve our goals. Proudly serving Brantford, Brant & Six Nations.