ANCIENT INDIA & KUMARI KANDAM CONFERENCE Speaker Intake Form Saturday & Sunday, January 22 & 23, 2021 Name Email Cell Phone Brief Bio Your Best Headshot Talk Title Talk Description Please Select ALL TIMES You Are Available on 5/19/21 (a purple check mark will appear when you click at left) 10:00 am PST 11:00 am PST 12:00 pm PST 1:00 pm PST 2:00 pm PST 3:00 pm PST 4:00 pm PST 5:00 pm PST Please Let Us Know If You Will Have Slides Yes No Not Sure Please Let Us Know If You Will Promote Yes No Please share any comments, questions or needs Should Anyone Else Be Copied, Such As An Assistant? Second Person's Email Do you plan to promote any product or service during the show? If you have something you'd like to sell via the show, please do so at the very end in the last 3 minutes. Please ensure your presentation is a full offering of your unique work and message. We will be sending you a revenue share divided amongst the speakers to honor your time, energy and appearance. Please click the checkbox to let us know you have read this agreement. Thanks! Send
