Cure GM1 Conference Speakers Release

Thank you for applying to be a speaker.

[text* FirstName class:form-control]
[text* LastName class:form-control]
[email* EmailAddress class:form-control]
[text* CellPhone class:form-control]
[textarea* Bio class:form-control]
[text* PresentationTitle class:form-control]
[textarea* PresentationSummary class:form-control]
[textarea* ConcernsQuestions class:form-control]
[textarea* ObjectiveOfTalk class:form-control]

Will your talk be live or recorded?

[radio LiveOrRecorded label_first default:1 “Live” “Recorded”]

Attach a photo below

Please limit files to 5 mb in size. Large files can be emailed directly to

[file* Photo limit:5mb]

Can we share materials post conference?

[radio ShareMaterials label_first default:1 “video w/slides” “audio only” “no sharing”]

[submit class:btn “submit”]
Please click once and be patient. Submissions can take up to a minute!

Cure GM1 Foundation,,,

This e-mail was sent from the conference speakers form on Cure GM1 Foundation (
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Cure GM1 Foundation “[your-subject]”
Cure GM1 Foundation
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This e-mail was sent from a contact form on Cure GM1 Foundation (

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