Summit Speakers' Form - Karen Robinson Trauma Recovery Expert

Name

First

Last

Your Title (How you would like to be addressed)

Email

Phone

Please share your address in case I can send a gift :-)

City

State/Province

Zip/Postal

Country

Business Name

Website/URL

Please provide your best headshot photo - square 600x600 pixels

Maximum file size: 134.22MB

Your Bio (50 words) Written in 3rd person. Please note that if you go over 50 words, we are forced to shorten.

Presenter Interests

Live Speaker 20-30 minutes

Speaker Recording 20-30 minutes due 01/10

Survivor Panel (Fri/Saturday/both) 4 pm EST

Live Self-Care Activity 10-15 minutes

Self-Care Activity Recording 10-15 minutes due 01/10

Survivor Stories (10 minute recording only)

Notes or questions, Please include the name of your presentation and/or self-care activity here. If serving on the survivor panel, please note what day or both days.Notes or questions, Please include the name of your presentation and/or self-care activity here. If serving on the survivor panel, please note what day or both days.

PLEASE DO NOT FORGET TO INCLUDE NAME OF YOUR PRESENTATION/ACITIVITY ABOVE

Recording description

If applicable, please upload your recording(s)

Maximum file size: 134.22MB

Recording description

If applicable, please upload your recording(s)

Maximum file size: 134.22MB

Name and description of free gift (opt-in). Your gift will be given to all summit registrants.

Please add the link to your opt-in (please test it first)

If you want to be featured in our VIP package, please share the name of your product or service.

Describe your VIP product or service. (minimum value of $30) can be e-book, workshop, training, course, digital product.

VIP package bonus link and coupon code ( “HTD” requested). If you can’t include code, please let me know.

Free gift/opt-in: Upload mockup or graphic (600x600 square) of the product

Maximum file size: 134.22MB

VIP package: Upload mockup or graphic (600x600 square) of the product

Maximum file size: 134.22MB

Instructions on how to retrieve and use your VIP bonus (Please include a link and instructions for how customers will access your VIP bonus. Example: Going to your shop (include the link) and using coupon code, scheduling a call with a special link, etc. Note: Coupon codes and offers must be good through March 31, 2024, but anything longer than that is up to you).

Special notes on how registrants can access your free gift/opt-in?

Will you be an event sponsor? Bronze - $250 (small logo of your business on summit page/my website/FB; one 30 second advertisement on my podcast in your voice or mine; certificate of appreciation). Silver - $500 (medium logo of your business on summit page/my website/FB; 1 minute advertisement on my podcast in your voice or mine for one month/four episodes, certificate of appreciation). Gold - $1,000 (large logo of your business on summit page/my website/FB; 2 minute advertisement for eight episodes/2 months; appreciation plaque)

YES!

No thanks

Considering and would like to discuss

Does your business have an affiliate program? If so, what is the link to join?

What did I forget to ask? Please add any special notes or questions here:

You're a Star!

You are a selected speaker!❤️

Speaker Details

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