FPMA Speaker Submission Form

CONTACT INFORMATION

Name Block - Full

Title

First Name *

Last Name *

Suffix

Organization/Company: *

Email Address:

Cell Phone Number: *

Assistant/Communications Contact (optional):

Assistant/Communications Email (Optional):

LinkedIn:

SESSION DETAILS

Proposed Session Title: *

Session Type:

Keynote Breakout Panel Workshop Roundtable

Session Description (150–300 words): *

Learning Objectives (3–5 bullet points): *

Target Audience: *

Retailers Suppliers Marketers Leadership/Owners Operations Other

Preferred Session Length: *

30 minutes 45 minutes 60 minutes 90 minutes

Have you presented this session before?

Yes No

If Yes, please provide a link to preview the session.

Provide a headshot

Please provide a short introduction bio (3–4 sentences) that can be read aloud before your session. This should highlight who you are, your role, and the expertise or experience that makes you the right person to speak on this topic.

FPMA Speaker Submission Form

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