Philadelphia BTA - Speaker Resource Survey

* What is your name?

* Would you like to be included in the Speaker Resource database?

Yes
No

* What is your title?

* What is your company name?

* What is your phone number?

Please provide your mobile phone, if you would like.

* What is your email address?

* What is your preferred method of communication?

Email
Business Phone
Mobile Phone
Email/Business Phone
Email/Mobile Phone
Email/Text Message
All of the above (Email/Business Phone/Mobile Phone/Text Message)

* What is your preferred departure/home city airport? (Your preferred departure airport; please include all that apply, if applicable)

* Are you currently affiliated with any professional associations such as GBTA, ACTE, MPI, SHRM, etc? Please list & describe. Please include if you are a GBTA Committee or Board Member.

* Do you charge a speaker fee for GBTA chapter events? Please list your base speaker fee, if any. Please enter $0 if you do not charge a fee for GBTA chapter events.

Are travel expenses (air, hotel, ground, meals) an expense to be covered by the chapter in which you are presenting? (Please note: if you indicated a speaker fee, please select YES if travel expenses are payable IN ADDITION to the speaker fee, or select NO if travel expenses are included in your speaker fee.)

Yes
No

* Please list key words that would be most relevant to your area of expertise. Please list as many as applicable. (i.e. Risk Management, Open Booking, Travel 2.0, travel trend, forecasting, airline negotiation, legal meetings, futurist, etc.) This will be used in our database so that we can easily identify relevant speakers.

Please list the titles of any current presentations that you have available. (We would like to list these in the first release of the database.)

Please list any other information that you feel would be relevant.

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Speaker Resource Survey