Speaker Proposal Form - Cambridge Healthtech Institute

To submit a proposal to be considered for presentation in a CHI meeting, please designate the appropriate category.

Chose One:

Topic:

Explain why your topic should be considered:

First Name:

* Last Name:

Company Name:

Company/Personal Website:

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*Professional Email:

Alternate Email:

Phone (US or Canada):

State/Province (US or Canada):

*Country:

Comments:

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