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BAS Speaker Intake Form 2026

Full Name

*

Pronouns

*

Email Address

*

How many people are on your email list? (This is just for tracking and does NOT affect your ability to participate.)

*

Website URL

*

Links to your most used social platforms. (So I can follow you!)

I agree to send two emails to my entire list during the summit promo window of August 3-15, 2026.

*

I agree to send two emails to my entire list during the summit promo window of August 3-15, 2026.

Yes

Anyone else you think I should invite to speak at this or future summits?

Anything else you want share?