Speaker Name *

First

Last

Company Name

Title /Position

Email *

Phone

Address

Are You a member of WIEN?

• YES
• NO

Are you willing to be available for virtual speaking opportunities?

• YES
• NO

Are you willing to be available for physical speaking opportunities? I

• YES
• NO

If Yes Select which states you are willing to travel to for in-person speaking opportunities

• All State
• Lagos
• Port-Harcourt
• International

Area of Expertise

• Power
• Renewables
• Upstream
• Downstream
• Procurement
• Supplier Diversity
• Legal
• Finance
• Human Resources
• Business Development

• By checking this box, I understand that my contact information will be provided to WIEN Directors and that I may be contacted about speaking opportunities

Submit