Speaker Proposal Form - AI World Conference and Expo

Select a choice

Proposal Title:

3-5 Sentence Summary:

Why your proposal should be considered:

What the audience will gain from your presentation:

Short Biography: (Bio may be used in print material if proposal is accepted)

Select : Mr. Ms. Mrs. Dr. Prof.

First Name:

Last Name:

Degree / Credential: (eg. Ph.D. or FACR etc.)

Job Title:

Department:

Company/Organization:

Mailing Address:

City:

State or Province (Canada):

Zip / Postal Code:

Country:

Phone:

Ext:

Fax:

Email:

Your Organization Website:

ORCID iD

LinkedIn Profile

Twitter Handle

New code

Please type the code above

Incorrect value for the captcha image