Please complete the registration form below if you would like to be listed on the Sales Lead Management Association Speakers Directory. You may be listed on up to four industry categories. There is a nominal annual fee of $80 to be listed as a speaker in your primary industry category. Each additional category is $25/category/year.
First Name *
Last Name *
Company *
Address *
Adress 2
City *
State/Province *
Zip Code *
Country, if not in US
Fax
Web site
E-mail address *
Are you a fee based speaker?
Yes
No
Can you provide a demo DVD or site link?
Yes
No
What sort of speaking assignments are you interested in? *
Keynotes
Workshops - 2 hours or less
Workshops - half day
Workshops - full day
B2B
B2C
Are you a published author?
Yes
No
If yes, please list book titles
Describe your primary area of expterise *
How do you want to be contacted by the event or program directors? *
Choose category you would like to be listed under ($80 per year for the first category) *
Optional: 2nd Category $25 for each additional category
Optional: 3rd Category $25 for each additional category
Optional: 4th Category $25 for each additional category
Do you have a biography? *
Yes
No
If you have a bio, please enter the abbreviated version here - 150 words or less
Do you have references and testimonials? *
Yes
No
Do you take international assignments outside the US, Canada and Mexico? *
Yes
Not now but in the future
No


* These are required fields