The National Underwriter Company - Speaking Opportunities

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Thank you for your interest in speaking at an upcoming National Underwriter event. Our events provide attendees, exhibitors, speakers and sponsors with access and exposure to the leaders reshaping the insurance industry.

As a potential speaker, or speaker representative, we would like some additional detail from you regarding the speaker and presentation you are submitting for consideration. Please take a moment to complete the following information. Your submission will be evaluated at the time we research and develop our program content. Our development process typically begins ten months in advance of the actual event.

Only completed forms will be considered. Also, please understand that due to the volume of requests we receive, we will only be able to respond to those in which we have an immediate interest. Items on the form marked with an * are required fields.

Speaker Information

First Name: *

Last Name: *

Designation:

Job Title:

Company/Organization:

Address:

City:

State:

Country:

Zip/Postal Code:

Telephone:

Email Address: *

Additional Presenters Information:

First Name:

Last Name:

Designation:

Job Title:

Company/Organization:

Email Address:

Contact Information (if submitting someone else as a speaker)

First Name:

Last Name:

Designation:

Title:

Company/Organization:

Email Address:

To submit a speaker proposal, instead of or in addition to the submission form provided here, the document must include information from each of the categories below.

Speaker Proposal file:

NOTE: Microsoft Word® files (Word 97 and newer), 500 KB or smaller.

For which event are you interested in speaking/submitting a speaker?

Session Title:

Presentation Summary (Write a 50-75 word summary of the presentation. Be sure to include all major points of the presentation and do not refer to presenters by name)

Presenter Biography (Provide a short biography of presenter(s). No more than 50 words)

Qualifications (Briefly describe your qualifications to present the material. List past Event Name, Presentation Title and Date Presented and include several references,names,titles,phone numbers)

Primary Topic:

Secondary Topic:

Target Audience (Which designation best applies to the intended audience?)

Industry (Choose all segments that apply)

Property & Casualty

Life & Health

Insurance Fraud

Other (please list):

Please be aware that submission of the proposal form means that we will consider the candidate carefully for inclusion in our programs, but acceptance is not guaranteed.

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August 24-26, 2009

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November 5-6, 2009

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