Please complete the following form to submit a request for a Nortel speaker for your conference or event. Completed forms must be submitted at least two months prior to the date of the event. All requests generally receive a response within three weeks.

Questions can be directed to alexanja@nortel.com.

* Required Fields

Event Information
* Conference/Event Title:
Conference Theme:
* Event Date:
Event Time:
* Location:
Audience profile:
Expected audience size:
Event URL:
Speaker Information
Requested Nortel Executive Speaker:
Alternative Nortel Speaker:
Format:	Keynote    Panel    Other
Suggested topic for speech:
Other information that will help us evaluate your speaker request (other attendees, expected media coverage, past Nortel speakers, etc.):
Contact Information
* Name:
Organization:
* Phone:
Fax:
* E-mail:
	Submit Clear Fields