Partnerships with CROs Speaker Proposal Form

	Thank you for your interest in speaking at our event. Please provide the following details in your proposed abstract below:
	First Name
	Last Name
	Job Title
	Company
	Email
	Telephone
	Title and objective of presentation (2 paragraphs maximum)
	**
	What the audience will gain from the presentation (please list 3-5 key takeaways)
	**
	A brief biography including previous conference presentation experience (2 paragraphs maximum)
	**