We're Glad You're Part of The Six Five Summit

Thank you for agreeing to speak at The Six Five Summit. We are so glad to have you as part of this event as your insight, knowledge, and experience will no doubt contribute to its success. Please provide the information in the form below at your earliest convenience — it will be used in promotional materials and on the event website.

Speaker Information

  • About the Speaker

  • Please enter the speaker's name as it should appear in promotional materials and on the event website.
  • Please enter the speaker's job title as it should appear in promotional materials and on the event website.
  • Please provide the email address that would be best for communicating with the speaker and/or their assistant regarding their event session(s).
  • Please provide the best phone number in case we need to reach the speaker and/or their assistant via telephone.
  • Please provide a short speaker's bio (100-150 words, written in third person) as it should appear in promotional materials and on the event website.
  • Please upload the speaker's professional headshot for use in promotional materials and on the event website. Image guidelines: Minimum resolution of 600px x 600px; .jpg or .png file format; maximum file size of 128MB.
    Accepted file types: jpg, png, Max. file size: 128 MB.
  • Please provide a link to the speaker's personal LinkedIn Profile.
  • Please provide a link to the speaker's personal Twitter profile.
  • Secondary Point of Contact

    Is there someone who coordinates and communicates on the speaker's behalf? If so, please provide their contact information below.
  • Please provide the best number to reach the speaker's secondary contact.
  • About the Speaker's Company

  • Please enter the speaker's company name as it should appear in promotional materials and on the event website.
  • Please enter the URL that should be used in promotional materials and on the event website. This could be the company's home page or a specific page to which you would like to direct visitors.
  • Please upload your company's logo that is approved for use in promotional materials and on the event website. Logo file guidelines: Transparent background .png file with minimum width of 300px and minimum height of 100px. Maximum file size of 128MB.
    Accepted file types: png, Max. file size: 128 MB.
  • Please provide a short description about the speaker's company (100-150 words.) This description will be used in promotional materials and on the event website.
  • Please provide a link to your company's LinkedIn page.
  • Please provide a link to your company's Twitter page.
  • Please provide a link to your company's Facebook page.
  • About the Speaker's Session

  • Please provide a short description about what the speaker's session will cover.
  • Please select which format you would like for your session.