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First Name*

Last Name*

Your Business Name*

Contact Number (B/H)*

Email*

Business Website*

Preferred Social Media Links for cross-promotion*

Presentation Title (short & catchy)*

Who is the target of this topic (who will be the most interested)?*

Presentation Description - approx 300 words*

Presenters Bio - approx 300 words*

Special note to applicants*

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