Accountex Canada Speaker Application

1.Speaker Full Name:(Required.)
2.Title:
3.Company:(Required.)
4.Email:(Required.)
5.Cell phone:
6.What city are you located in?(Required.)
7.Speaker Bio:(Required.)
8.Please select the main topics your session will cover:(Required.)
9.Presentation Title
10.Presentation Description:(Required.)
11.If you require an honoraria/speaker fee please indicate your rate:
12.Are you interested in exhibiting at the show?
13.Any general comments?