Invite to be a Speaker on the South African Online Summit across all genres.

First Name*
Last Name*
Email*
Phone*
City*
Province*
Please write a short bio about yourself*
Your Website URL
Are you currently coaching, training, speaking or consulting with businesses or people specifically?*
- Yes
- No
Name your primary specialist topic to speak on*
Please list additional specialist topics/specific titles of talks (up to 5) that you could offer as alternative (Be very specific as we are only looking for one speaker per topic)*
If you had to present a free 1 hour coaching, training or motivational webinar about a certain topic, what would this topic be?
During this webinar you have the opportunity to have an upsell, what would the topic, cost and duration be?
Do you currently run any training courses or workshops for people or businesses?*
- Yes, Face to Face (Venue based)
- Yes, Online (Virtual)
- Yes, Face to Face (Venue based) and Online (Virtual)
- No not currently
If so, is the content of the training or workshops online for us to view? If yes, please provide the specific website address where these can be viewed
Do you have a contact database (eg on email or social media platforms) that you can promote this summit and your talk to?*
- Yes
- No
Approximately how many people are on your email database?
How big is your audience on Facebook?
How many Twitter followers do you have?
How many Instagram followers do you have?
How many connections do you have on LinkedIn?
Please upload a hi-res photo of yourself*
Accepted file types: jpg, jpeg, png, gif, Max. file size: 20 MB.

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