Speaker Inquiry Form

Speaker & Public Engagement Inquiry Form

We welcome the opportunity to share our ideas, engage with the greater travel community and speak on behalf of the global cruise industry. If you are interested in a CLIA representative speaking at one of your events, please fill out the form below and we will contact you at our earliest convenience.

Speaker Requested (If you are interested in a particular speaker):

Contact Information

Sponsoring Organization:

Contact Name:

Contact Position:

Contact Phone Number:

Email Address:

Website URL:

Program/Event Information:

Name of Program/Event:

Date of Program/Event:

Location of Event:

What is the Theme/Purpose of the Program/History/Event:

Proposed Topic (s):

Length of Presentation:

Speaking Format (panel, roundtable, keynote, etc.):

Presentation Time:

Other Invited or Confirmed speakers:

Audience Demographic/Details:

Audience Size:

Expected Media Coverage:

Are travel expenses paid by Speaker or Event?

Yes
No
Other

Conference Registration Provided?

Yes
No
Other

Other Benefits Provided by: Trade show booth, logo in program or at event, etc.

Speaker Inquiry Form

Speaker & Public Engagement Inquiry Form

Contact Information

Program/Event Information:

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