Name:

Business Name:

Phone:

E-mail:

Criteria for application:

• A member of AZHCC in good standing
• A video of a presentation

If you have a video on a web site, include the URL or send it as a download to speaker@azholisticchamber.com. If you have an AZ Holistic Chamber member recommendation, please include his/her name. Send your information via email ONLY or fill out the form below. NO hard copy material will be accepted. NO exceptions. Please include the category designation in your material--i.e. Summary: Topic: Profile, etc.

Include the following information:

PLEASE COMPLETE FORM - DO NOT LEAVE ANY SPACES BLANK OR YOUR APPLICATION WILL NOT BE ACCEPTED

Full Name of Speaker:

Organization:
Please include name of company or company you are involved with and contact information...

Summary:
Your summary needs to be explicit enough that a visitor is interested in exploring what you offer via phone or email.  Summary length 100 - 550 words. There is no restriction on the number of words, however, remember clear concise communication is the most effective. Use bullet points to emphasize major points, if appropriate.
View the current speaker listings for examples. http://www.azholisticchamber.com/Speakers_Bureau/

Topics:
List topic titles - with a brief summary (50 - 100 words).

Profile:
(Biography)

Education:


Venue:
(Example:) Business and Corporations Expos Keynote Business and sales meetings Nurses, Doctors, Naturopaths, Therapists, LMT’s, Scientists. Counselors, Hynotherapists Associations Health Care, Hospitals, Nursing Homes Non-Profits, Schools


Client Testimonials:
One testimonial required A colleague or friend's testimonial is acceptable.

Audience Size:
Audience size is your discretion based on your topic, etc. We recommend using a range or state 'Negotiable'.

Fee:
We recommend using a range or state 'Negotiable' plus expenses.

On approval of application the following items must be submitted:

• $75.00 ($50.00 processing fee, $25.00 editing of profile)
• Signed contract
• Photo (web ready)
• 5 minute video (AZHCC guidelines apply)