Speaker Interest Form Interested in Speaking at a Chamber function? Provide details and further information about speaking interest and topics. Name(Required) First Last Name of Business(Required)Email(Required) Phone(Required)What would the title of your presentation be?(Required)Please provide a description of the presentation and how you would speak about it.(Required)Have another topic you speak on?(Required) Yes No What would the title of your presentation be?(Required)Please provide a description of the presentation and how you would speak about it.(Required)Upload a flyer/brochure, if applicable.Max. file size: 32 MB. How does your presentation relate to the business community?(Required)Would there be a fee to have you speak?(Required) Yes No If yes, what would that fee be? Is it flexible?(Required)By checking “I agree,” I acknowledge that my proposed speaking topic will be solely educational and free of promotional content. I understand that submitting an idea doesn’t guarantee selection. The Urbandale Chamber will review all topics and choose the ones that best fit upcoming programs.(Required) I agree.
