Presenter/Speaker Proposal Form
The Black Business Professionals and Entrepreneurs
Accepting materials through December 30, 2005
(Please submit your completed and signed application, workshop summary and 3x5 photograph.)
Please check the appropriate subject for your proposal:
Leadership Management Communication Technology Entrepreneurship
Career Enhancement Empowerment Inspirational Finances/Wealth Other
Phone: Work: Fax:
City: State: Zip:
Who should attend?
□ Thursday: (government-oriented workshops only) □ AM □ PM
□ Friday: □ AM □ PM
□ Saturday: □ AM □ PM
Please provide a brief BIOGRAPHIC outline.
Previous speaking engagements:
Presenters receive: one (1) full conference package; 50% off for accompanying guest(s); book-signing
opportunity; inclusion in media/marketing efforts and workshop/business promotion in program book.
Please complete and E-mail this form to: firstname.lastname@example.org
Presenters are provided with a complimentary conference package, two (2) tickets to the Kick-off Reception, opportunity to conduct
book signings and sales following workshop facilitation, website profile and hotlink as well as media interview opportunities, when
Sign: _____________________________ Sign: _______________________________
Date: _____________________________ Date: _______________________________
P O Box 60561
Savannah, GA 31419
Phone: 912-354-7400 Fax: 501-694-9220
THANK YOU FOR YOUR INTEREST IN BBPE!