Speakers Bureau Application 
We are pleased to announce the formation of a speakers' bureau, which will help us provide speakers for trade shows, conferences, courses, vertical industry meetings, webinars and legislative hearings.

If you are interested in participating, please complete the form below.

Thank you and we look forward to receiving your application.

Name:
 *
Job Title:
 *
Company:
 *
Address:
 *
City:
 *
State/Province:
 *
Zip/Postal Code:
 *
Country:
 *
Email Address:
 *
Phone:
 *
Website:
 *
 
Bio:
 *
 
Please upload your photo:
.jpg or .png files only please
 
Please list the publications you have authored (Books white papers etc.)
 
Any geographic travel restrictions?
No
Yes
If yes please explain
 
Recent Presentation (1)
Seminar Title (1):
Seminar Description (1):
Event (1):
Location (1):
Date (1):
 
Recent Presentation (2)
Seminar Title (2):
Seminar Description (2):
Event (2):
Location (2):
Date (2):
 
Expertise: Digital Screenmedia Subjects (check as many that apply):
Content
Design
Hardware
Network Management
Service
Software
Strategy
Other (please specify):
 
Expertise: Vertical Industries (check as many that apply):
Education
Entertainment/Casinos
Financial/Banking
Government
Healthcare
Hospitality
Restaurant
Retail
Tradeshows/Conferences
Transportation
Travel
Other (please specify):
 
Expertise: Project Management (check as many that apply):
Justification
Planning
Training
System Management
Implementation
Other (please specify):
 
Expertise: Industry Outlook Trends and Statistics (check as many that apply):
General Trends
Specific Vertical Trends
Successes and Failures
Forecasts
Other (please specify):
 
Comments/Remarks:
 
Comment
Security code:
 *
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Member Blogs
Testimonials 
Gregg Kaplan, Coinstar
"I'm very happy to be a part of the Digital Screenmedia Association. As a kiosk deployer, we enjoy working together with other deployer members to share experiences and establish industry standards."

Gregg Kaplan
President & COO
Coinstar, Inc.


Digital Screenmedia Association | 13100 Eastpoint Park Blvd. Louisville, KY 40223 | Phone: (502) 241-7545 | Toll-free: (877) 441-7545 | Fax: (502) 241-2795

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