First Name*
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Institution/Company/Organization*
Title
Phone Number
Email Address*
Address 1*
Address 2
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Country* Select CountryUnited StatesCanada---Other
Speaker's Bio*
Proposed Topic-1
Topic-1 Description
Proposed Topic-2
Topic-2 Description
What makes your perspective on this topic unique?*
What is the most compelling story that should be told at this event?*
By completing this form, I confirm that I am available to speak at LMD-2025 and understand that I am responsible for my own hotel and travel arrangements.* I Agree
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Which of the following are you currently involved with? I advise one or more venture capital or angel firms.I participate in a business or technology incubator.I participate in a university-based advisory board.I participate on an expert panel hosted by a commercial firm.I participate as an adviser to federal, state or local agencies or officials.
Any events have you attended in the past five years?
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