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The Crowne Plaza
Times Square Manhattan
1605 Broadway
New York, NY 10019

Speaker Proposal Form

Please fill out our speaker proposal form in its entirety as only complete forms will be considered. It is our policy to review all completed applications and file them for consideration on appropriate programs. You can use this form to submit a proposal for any SourceMedia event. Should we find a match in your interests and our program content, we will contact you. We do not have definitive deadlines for submissions, however the sooner you submit your proposal the more time we will have to consider it, we typically work with a 5-6 month lead time. Thank you for your interest in SourceMedia Conferences & Events.

At SourceMedia Conferences we strive to make our programs market driven. To that end, our conference speakers, are sought out in response to market feedback.

Contact information
[estimate # of employees and annual sales]
Topics of Interest

Topical Areas of Interest:

Presentation titles/topics:

Target market for this presentation/topic:

Preferred presentation format(s):

Presentation Description:
(approximately 75 words)

Previous Speaking Engagements

Tell us about your previous speaking engagements: include organization holding meeting, meeting title, presentation title, estimated attendance at this session, estimated attendance at this meeting, presentation feedback.


Meeting Title


Session Attendance

Thank you for your interest in participating in our conference programs.