ENTELEC Webinar Submission Information Speaker Name* First Last Company Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone*(Please list the phone number best to reach you on. This number will not be published.)Email* Enter Email Confirm Email Speaker Bio*Provide a concise and grammatically accurate 5-7 sentence biography. This will be used for marketing purposes so please provide a grammatically accurate and concise bio. Not to exceed 500 characters.Speaker Photo*Please make sure that your photo is no larger than 300 x 300 pixels.Accepted file types: jpg, png, tif, Max. file size: 2 MB.Speaking Experience*Please list your previous speaking experience (include all information that you think will help us make an informed decision.Co Speaker - Name (If applicable) First Last Co Speaker - Company (If applicable)Co Speaker - Phone (If applicable)Co Speaker - Email (If applicable) Enter Email Confirm Email Co Speaker - Bio (If applicable)Provide a concise and grammatically accurate 5-7 sentence biography. This will be used for marketing purposes so please provide a grammatically accurate and concise bio. Not to exceed 500 characters.Co Speaker - PhotoAccepted file types: jpg, png, tiff, Max. file size: 1 MB.Webinar Title*The following information should be clear and concise and grammatically accurate. It WILL be used for marketing purposes so please word to entice and attract potential registrants.Webinar Policies*Webinars MUST NOT BE PRODUCT SPECIFIC, A SALES PITCH OR COMMERCIAL! Webinars are generally 60 minutes in length. Yes, I understand the following.Webinar Description to Publish*This information should be clear, concise and grammatically accurate. It will be used for marketing purposes and is limited to a maximum 750 characters. Please take care to make it interesting and attractive for potential attendees to want to register for this event.Webinar Slides/Abstract (optional)You may provide your initial slide deck/abstract. Final slide deck will need to be submitted 3 working days before the scheduled webinar once approved. Please note information must NOT be A SALES PITCH. (Please limit your reply to 1 page or 3000 characters. PDF Only)Accepted file types: pdf, Max. file size: 2 MB.List 3 Objectives*List three (3) primary objectives that would be covered in this webinar.Category*Please list the industry category that best fits your training. If your training is outside of the categories listed, please indicate the category in the “other” box as ENTELEC is always looking for new, innovative, relevant and exciting topics of interest. SCADA Integration and Data Analytics Cloud Applications Cyber Security/Physical Security System Architecture for Industrial Control Systems Networks/Communications Infrastructures Offshore Communications FCC/Towers and Regulatory Professional Development Digitization, AI and Emerging Technologies IIoT/Field Communications Level of Presentation*Please select the level of attendee that would benefit most from your session. Executive Advanced Intermediate Novice All LevelsIntended Audience - Who would benefit from attending your webinar?*Please provide additional comments regarding this webinar.If you are completing this form for someone else, please complete the information below.Or additional contact person other than speaker – If there is an additional contact for this speaker/instructor please list their contact information.Name First Last Email Enter Email Confirm Email PhoneCompany