May 27-28, 2015
Dolce Hayes Mansion | San Jose, CA
Convergence 2015 Speaker/Panel Submission Form
The Ground Rules
Individual presentations must be original (not publicly presented before). Video examples of prior speaking engagements or panel participation will increase the chances of acceptance. Third-party submissions must include direct contact information for the individual on whose behalf the submission is being made. No exceptions. Thank you!
 Another party
If you are submitting yourself, please skip to Speaker/Panelist Name below.
If you are representing a speaker/panelist, please provide the following information:
Representative Name:
Representative's Company:  
Speaker's Name
Speaker/Panelists's Company:  
Speaker/Panelist's Title:  
Speaker/Panelist's E-mail:  
Speaker/Panelist/Company website:  
 I would like to present as a speaker.
Primary target audience for your topic (management, programming, sales, CTOs, etc.)
Key takeaways for participants
 Mobile consumers/transaction marketing
 Digital currency (Bitcoin, etc.)
 Social media
 Multi-platform content management
 Digital advertising agency/client perspective
 Tech investment forum (what investors are betting on)
 Digital sales strategies
 Competitive digital media
More About You
Brief (100 words) bio (or provide a link to your bio).
Why should the Convergence advisory board choose you to participate?
What makes you a "must-see" for Convergence attendees?
Twitter Handle:  
LinkedIn Profile:  
Facebook Profile:  
Link to speaking/panel video:  
Are you submitting for:
I would like to participate in a panel that might be presented on the following topic:
Questions marked with * are required.
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