Web3TO - Speaker, Leader and/or KOL Interest Form
You're here because you are interested in speaking at a Web3TO: Toronto, Ontario, Canadian and/or global event, being a Leader and/or KOL in the Web3TO Community. *KOL = Key Opinion Leader aka Thought Leadership. NOTE: What is put in here is used for both reviewing your application to speak AND to what gets put online once selected - please make accurate statements and include both what you want us to know AND what you want the public to see about who you are - thank you!
Sign in to Google to save your progress. Learn more
Email *
Your Name *
What's App *
Telegram *
LinkedIN *
Twitter/X *
Instagram: *
Company Name *
Your Role/Title at Your Company *
Generally - for speaker announcements and speaker lists - we use your name and company and role - if there is something else you would like us to use indicate it here (we use our judgement for what copy and descriptors is most appropriate and when, the of it as name and subtitle of you and the section you are a part of) *
Best Way to Contact You (and if not you, please specify who and put their contact details), and best time to contact you (calendly, afternoons, weekends mornings - this day, etc...) *
Interested in: *
Required
If you are interested in speaking in our Canadian Digital Asset Summit Series, indicate which event(s) you are interested in: *
Required
Is there a particular time of day or time of the event that works better for you or doesn't work for you?

(we try to accommodate where we can, and cannot promise - given the dynamism of our events and our days, we recommend you come for the full duration to get full value for you, for the event and full value the participants - and let us know your request and preferred availability - thank you!) *
Say more about your interest and what you want to speak about and what makes you an expert in this field that would be valuable for others to know. In short, why should we have you speak?

Use links if you that is helpful for us (put differently .. what your specialty is, what you want to speak about and why you, what conversation you want to lead at Web3TO/why you are reaching out, your KOL credentials and the impact you want to make, etc...) *
What should be put in your bio and for introductions (summarize, we use this section are for online and in person introductions as needed if we move forward together) *
Say more about what we should and/or shouldn't post about you online (use this company X and not this one Y for public branding, etc...) *
Your LinkedIN picture will be used (or specify which social we should take from and provide the link if you haven't yet) - or link your picture here in drive, etc..., or email us your professional picture to info@web3to.ca - please confirm! *
Who referred you / how did you find out about this opportunity? *
I agree that my picture, likeness and brand will be used for marketing and promotional purposes for the event(s)/activations, that I will be recorded and pictures taken in conjunction with the event(s)/activations which will be used and published before, after and/or during the event(s). And I consent for you (Web3 Toronto) and partners/affiliates to use this and other content associated with me and my affiliations freely and in a royalty free manner indefinitely into the future without compensation. You will be provided with exposure and a platform in exchange for your content and the use of your content during the event and into the future for marketing and other purposes. *
Comments, Questions, etc...
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms