Name *

First Name

Last Name

If this topic is selected to be part of the conference Agenda, would you be willing to speak on it? *

Yes, I would apply to be a speaker on this topic.

No, I'm interested in hearing a subject matter expert speak on this topic.

Within what areas of the industry do you operate? *

Check all that apply

Phone Repair

Electronics Refurbishment

Electronics Recycling

ITAD Services

Other

I support the industry as a service / solution-provider

I have no connection with the Industry