Speaker Proposal Form

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Name

Title

Company

Address

City

State

Zip Code

Phone

Fax

Email Address

What events are you interested in speaking at? (Check all that apply)

IAB Annual Leadership Meeting (February 24-26, 2013)
Mobile: IAB Marketplace (April 11, 2013)
X Screens (June 10, 2013)
Advertising Technology: IAB Marketplace (July 15, 2013)
IAB MIXX Conference (September 23 - 24, 2013)
Ad Operations: IAB Summit (November 4, 2013)
Check All

Speaker’s Biography

Presentation Structure (Panel--Brand Marketer Case Study--Research/Market Update)

Presentation Title and Description

Five Key Benefits of Presentation

Additional Panelists to be Considered (Name, title, and affiliation)

PRIMARY POINT OF CONTACT
Who should we contact with questions about the proposal?

Contact Name

Contact Phone

Contact Email