Proposal to Conduct Workshop

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					                   Presenter/Speaker Proposal Form

           The Black Business Professionals and Entrepreneurs
                           Conference 2006

                      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

Name:                                                                  Title:


E-mail:                                                           Website:

Phone: Work:                                                      Fax:

City:                                                    State:                      Zip:

Program Title:

Workshop Description:

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:

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: _______________________________

                                                  Event Coordinator
                                                    P O Box 60561
                                                 Savannah, GA 31419
                                        Phone: 912-354-7400 Fax: 501-694-9220

                                THANK YOU FOR YOUR INTEREST IN BBPE!

Description: Proposal to Conduct Workshop document sample