NVTC Speaker Consent Form



*Name:


*Company:


*Title:


*Email:


*Phone:


*Date of event:


Upload bio and picture.


NVTC records the audio of its events as a member resource. The audio recording may be published on the NVTC website and promoted through NVTC communications channels. By speaking at the event, you acknowledge that the information you are sharing is not confidential and can be shared.

As an industry thought leader, would you also be interested in sharing your insights on NVTC’s blog or through a podcast? Yes No

* By clicking submit I hereby consent to and authorize the use and reproduction, in print or electronic format, by NVTC or its authorized agents, of any and all photographs, audio or video which may be taken of me and/or my company at this event, for any publicity purpose, without compensation. I acknowledge and agree that all images, whether electronic, negatives and positives or otherwise, together with the prints, are owned by NVTC. I hereby acknowledge that I am 18 years of age or older and have read and understood the terms of this authorization and release.