A Community of Professional Speakers The St. Louis Chapter of the National Speakers Association Upcoming Speaker Program Information Please complete this form to give NSA STL all the information it needs to promote your upcoming presentation. Name* First Last Email* Website* Phone**Best number to reach you if we have any questions. Date you are scheduled to speak - Month and Year* Will your program include other speakers or panelists?* Yes No Names/Titles of other speakers or panelistsIf your program includes other speakers or panelists, please give their name(s) along with any designations that apply (i.e. CSP, RN, etc.)Program Title* Please indicate the title you would like us to use when promoting your event.Program DescriptionMax. file size: 32 MB.Please describe what you will be speaking about or teaching attendees. Be as descriptive as you can be and please also be sure your description includes a list of benefits/takeaways. This description will be used on the website, in emails, and to create social media posts to promote your event. Upload your bio for this programMax. file size: 32 MB.You can upload your bio here, if it is not included on the document with your program description.Upload Head Shot*Max. file size: 32 MB.Please upload a high resolution head shot to be used in creating the graphics for promotion. You will receive a check from NSA St. Louis for presenting. Who should we make the check out to?* Upload other files (Optional) Drop files here or Select files Max. file size: 32 MB. You may upload any other files containing resources for your presentation here. Uploading other files is optional.Link to promo video for this event (Optional) Δ