Become a Voice of Liberty – APMP Liberty Chapter

What is your email address? *

What is your first and last name? *

What is your phone number? *

Are you a member of APMP? *

Yes No

What is the title of the proposed event / webinar? *

What is the overview or summary for the proposed event / webinar? *

What are the audience key takeaways for the proposed event / webinar? *

Who is the target audience for the proposed event / webinar? *

Provide up to three preferred dates and times for the proposed event / webinar *

What is the URL for your LinkedIn profile?

What is the URL for your Twitter profile?

Other social media / web profile URL

What is the suggested format for your event? * Check all that apply

Lecture-style delivery or presentation Facilitated discussion / workshop Panel or expert speaker Interactive or scenario-based session

What is the suggested delivery method for your event? * Check all that apply

Webinar Physical

Is there anything else you'd like to add that hasn't been covered above?

Are you happy for a member of the events team to contact you about your idea? * Check one

Yes No