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Membership Luncheon – Speaker Form

Thank you for being apart of our Membership Luncheon speaker series! We are looking forward to having you present to our Membership soon. Below you will find our speaker form which will be used to ensure we have the key information we need to host your event.

If you have any questions about the form, please email Riele Bailey, Program and Events Manager at [email protected].



  • Presenter Details

  • Please list any dietary restrictions you have. *Please note, this section only applies to those doing in-person presentations.*
  • Marketing the Event

    The following information will be used to promote your event:
  • Accepted file types: jpg, png, Max. file size: 20 MB.
  • Drop files here or
    Accepted file types: mp4, mov, jpg, png, Max. file size: 20 MB.
    • Self Declaration

      The collection of self-identification data questions below are a part of The Chamber’s commitment to diversity, equity, and inclusion (DEI). It will help The Chamber best serve you and our business community. This data will allow us to analyze the diversity within our event speakers and programs, monitor our DEI efforts, and recognize and remove barriers to ensure inclusive and accessible events. This self identification section is voluntary.
    • The 2SLGBTQ+ acronym is used for people who may identify with one, or many of the following: Two‐Spirit, Lesbian, Gay, Bisexual, Transgender, Queer, Questioning, Inter‐sex, Asexual, + denotes anyone who does not identify as any of the above, or heterosexual and/or cisgender.
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