The Energy Summit Speaker Agreement Form

We are delighted that you will be joining us for The Energy Summit 2017, “Cleaner, Better, Faster, Safer” – in Denver, CO, August 21 – 24, 2017.  Details of your specific participation have been provided in your formal invitation letter.  We are pleased to offer you complimentary registration for all our conference sessions and luncheons and hope you will be able to join us for the entire conference as the participants and conversations are sure to be engaging!

NOTE:  The information provided below will be kept confidential and used only for the purpose of this event. Your personal details (phone, email, and assistant contact info) are only used internally by our staff to facilitate your participation. We ask that you provide all requested information to ensure that your name, title and company are legible and will therefore be printed as you desire in our conference materials.

Thank you in advance for your timely response to this request.  If you have any questions or concerns, please feel free to contact any member of our staff.

TES Speaker Agreement Form

  • Speaker's Name, Title, & Organization for Printed Materials

    Please type all requested information to ensure that your name, title and company be printed as you desire in all our printed conference materials.
  • Participant's Contact Details

  • Assistant (Additional) Contact Details

  • Participant's Headshot & Biography Request

    Please provide a high resolution headshot (jpeg or png image at least 700kb or greater in size) and a brief (150 words or less) biography to be included in conference related print materials.
  • Drop files here or
    JPEG or PNG image at least 700kb or greater in size
  • Drop files here or
    150 words or less
  • Complimentary Registration for Conference Events

    As a participant in this year’s conference, we are pleased to offer you complimentary registration for all our conference sessions. Additionally, we would welcome you as our guest to any or all of our dynamic conference events. Please review the events noted below and indicate if you will be able to attend. We kindly ask that you RSVP to the events below otherwise a ticket will not be provided to you on-site in your speaker welcome packet. Your registration will not include these events unless you select them below. An email confirmation for the events you would like to attend will be sent to the contact email noted above. If you would like a cc: email sent to an additional person, such as an assistant, please list their email in the appropriate field below*.
  • Special Provisions

    Lodging/Hotel Rooms: We are pleased to offer our participants discounted room rates at the Hilton Garden Inn Denver Downtown if you require accommodations. Please visit the following link for additional information and to reserve a guest room: http://theenergysummit.org/location/
    Registration and attendance at or participation in COGA meetings and other activities constitutes an agreement by the speaker to COGA’s use and distribution (both now and in the future) of the speaker’s image or voice in photographs, videotapes, electronic reproductions, and audiotapes of such events and activities.
  • By signing this agreement, I acknowledge my participation in The Energy Summit 2017 and understand the information provided in this form.