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BetterPlace is the global provider of electric vehicle networks and services.
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Event/Speaker Request
First Name
*
Last Name
*
Title
Organization
*
Website
Email
*
Phone
*
Mobile
Fax
What type of participation are you looking for? Select all that apply.
*
Speaking
Sponsorship
Exhibition
Name of Event
*
Event Start Date
*
(MM/DD/YYYY)
Event End Date
*
(MM/DD/YYYY)
Event Location
Street Address
*
City/Town
*
State/Province
*
Zip/Postal Code
*
Country
*
Event URL
How many times has this event been held?
*
What is the overall event focus (for example, all electric vehicle conference)?
*
Describe the audience/participants for the event (including estimated audience size)
*
Who is your preferred speaker?
*
Are you open to other speakers?
*
Please select...
Yes
No
If you are requesting a speaker, what type of format is it?
*
Please select...
Keynote
Breakout session
Moderated panel
Roundtable
Other
Please list the planned and anticipated speakers
*
What is the primary topic(s) for the speaking opportunity?
*
If a sponsor or exhibit opportunity, please describe (category, level, benefits, pricing)
*
Please list confirmed sponsors
*
What are your deadlines for the event?
*
Additional Comments
Please attach any relevant materials (ex. event agenda, media lists, list of previous attendees, sponsor package, etc.)