Participation Request for Webinar (Digital Transformation)

WEBINAR PARTICIPATION REQUEST

Digital Transformation Webinar

Please provide the following information to be considered for participation
on the upcoming Pipeline webinar.

COMPANY INFORMATION:

Company Name*

Company Website (URL)*

Upload Company Logo (EPS or PDF preferred)

Company LinkedIn Profile*

Company Twitter Profile

Company Facebook Profile

Other Company Social Media Profile

Company Boilerplate or Description*

SPEAKER INFORMATION:

First Name*	Last Name*

Job Title*

Email Address*

Phone*

Speaker Twitter Profile

Speaker LinkedIn Profile*

Speaker Biography*

Enter a Brief (150-word) abstact of your company's and speaker's expertise on the webinar topic, and be sure to include specific talking points:*

Upload Speaker Headshot Photo

Enter the name of Service Provider or Customer (if presenting with you)

SPONSORSHIP OPTIONS:

I am interested in increasing my visibility and the results of my webinar participation with the following options:*

Logo included in webinar promotional materials

Lead generation for all those who interact with webinar materials

Receive the digital webinar file for my own content marketing

Capitalizing on the webinar findings in a feature article

Panel Sponsorships Package (includes above plus panel presentation time)

Premier Sponsorship Package (includes above, plus exclusive presentation time)

CO-MARKETING REQUIREMENT:

I understand that my participation requires me to co-promote the webinar to my company's contacts, databases, and social media networks, and agree to do so as part of my participation.*

I agree

PERSON SUBMITTING THIS FORM (if different from above)

First Name	Last Name

Job Title

Email Address

Phone