Speaker Interest Form Speaker Interest Form IMA invites speakers who want to give freely of their knowledge with the manufacturing community. By typing 'YES', you acknowledge that the opportunity to speak at an IMA event is for knowledge sharing and the enrichment of attendees, not for personal or professional gain.*Name* First Last Company*Email* Phone*Title*Please indicate what type of speaking opportunity for which you'd like to be considered.*Lunch & LearnWorkshopMembership MeetingBusiness Opportunties ConferenceTrade Show/Conference KeynoteTrade Show Breakout SessionWhat topics are you (or another company representative) interested in speaking on?*What qualifications or experience make you an expert on this/these topics?*Do you charge a fee for speaking?*YesNoSometimesIf you charge for speaking, please provide cost details.Are you an IMA member?* Yes No How long have you been involved with IMA?* Less than 1 year 1-5 years 5 years or more