Speaker Proposal Form - AI World Government

* Please Select a Track

* Proposal Title:

* 2-3 Sentence Summary (approx. 70 words):

* Why your proposal should be considered:

* What the audience will gain from your presentation:

* Short Biography: (Bio may be used in print material if proposal is accepted)

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* First Name:

* Last Name:

Degree / Credential: (eg. Ph.D. or FACR etc.)

* Job Title:

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* Mailing Address:

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