Speaker Application Form

Errors have been detected. Please review the form and make corrections.

Speaker Information

(* indicates required fields)

1. First Name *
2. Last Name *
3. Title *
4. Speaker Type * Customer Partner Open Text Employee Industry Expert
5. Company *
6. Address1 *
7. Address2
8. City *
9. ZIP or Postal Code
10. Country * --- Choose --- CanadaUnited StatesAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'ivoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuam GuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic OfIraqIrelandIsle Of Man IsraelItalyJamaicaJapanJersey JordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic OfKorea, Republic OfKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, The Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts And NevisSaint LuciaSaint Pierre And MiquelonSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSerbia And MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia And The South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard And Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province Of ChinaTajikistanTanzania, United Republic OfThailandTimor-LesteTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis And FutunaWestern SaharaYemenZambiaZimbabwe
11. State/Province --- Choose --- AlbertaBritish ColumbiaNova ScotiaOntarioLabradorPrince Edward IslandManitobaQuebecNewfoundlandSaskatchewanNew BrunswickYukonNorthwest TerritoriesAlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyomingNunavut
12. Work Phone *
13. Cell Phone *
14. Fax
15. Email Address *

Biographical Information

1. Career History
   (Maximum 500 characters please)
2. Education
   (Maximum 500 characters please)
3. Additional Information
   (Maximum 500 characters please)
4. Can Open Text post your biography on their corporate Content World website?
   Yes
   No
   

Additional Information

1. Open Text Conferences Attended:
   Content World
   LiveLinkUp
   Summit
   Convergence
   RedDot Days
   Other
   
   
   
   Other:

2. Did a company representative refer you?

   Referred by First Name:
3. Referred by Last Name:

4. Will you have a co-presenter?

   Co-presenter First Name:
5. Co-presenter Last Name:
6. Co-presenter Email:

About Your Presentation

1. 1. Proposed Session Title:*
   (Please limit to 150 characters for Web site and brochure publication.)
2. 2. Session Abstract:*
   (Please limit to 500 characters for Web site and brochure publication.)
3. 3. Industry Focus --- Choose --- Canadian Public SectorEnergy (Oil&Gas, Chemical, Utilities)Financial Services/InsuranceLegalMedia/PublishingPharmaceutical & Life SciencesUS Public SectorAllOther
   
   Other:
4. 
   4. What business solution best describes Your Session Focus? --- Choose --- ArchivingBusiness Process ManagementCapture & DeliveryCollaboration and Community ManagementContent ReportingDigital Asset ManagementDocument Management (eDOCS)Document Management (Enterprise Server)ECM SuiteEmail ManagementMicrosoftOracleRecords ManagementSAPWeb Content Management
5. 
   5. Target Audience: --- Choose --- BusinessTechnicalBusiness Technical
6. 
   6. Target Role (IT Admin, Business Owner, Records Management, etc.)
7. 
   7. Session Format* (case study, panel discussion etc.)
8. 
   8. Will you require an internet connection during your presentation?
   No
   Yes
   
9. 
   9. Deployment: --- Choose --- Single-DepartmentalInter-DepartmentalMulti-DepartmentalEnterprise-Departmental