Speaker Intake | Lose Weight Now Summit

First Name *

Last Name *

Email Address *

Mobile Number *

Your website URL *

Professional Headshot (High Res)

Your Professional Title (as it will appear with Headshot) *

Short Bio (Limit to 2-3 sentences) *

Approx. Email List Size (not including Social Media)

5,000 - 15,000

15,000 - 20,000

20,000 - 30,000

40,000 - 50,000

50,000+

Assistant Info

Please fill out if you have an assistant helping.

Assistant Name (if applicable)

Assistant Phone Number (if applicable)

Assistant Email (if applicable)

Interview / Training Information

What is your proposed title of your interview / training *

Please provide us with 5 questions you would like to be asked during your interview / training

Your Free Gift Information

Free Gift Link is a way for get people on YOUR email list. If you will be submitting a free gift at a later time, please email the Title and URL to dave@loseweightnowsummit.com

Name of Your Free Gift

Exact URL to Claim Your Free Gift

Is there any promo or discount code to enter for the free gift? (Leave empty if not applicable - no code required)

Event Promotion

All speakers have agreed to send 3 solo emails to their entire list to promote the event (Social Media excluded). We are sharing this information with you so that you can plan your promotional calendar accordingly. Our promotion period begins on October 31st and all promotional materials will be provided prior to the promotion period.

Will you promote the Lose Weight Now Summit at least 3 times leading up to the Summit date?

Yes, I'd love to!

Any additional questions or comments?

Questions / Comments

About the Lose Weight Now Summit

Please review the following information, which has been designed to clarify our previous discussions regarding the details of the event. This way, we can all be certain of what is expected of us and how we can best assist our attendees.

Welcome! We are so excited to have you!

The following are the agreements we have made with you on our prior calls and emails. Please review them and acknowledge that you agree and understand at the bottom so we know we are all in sync.
1. You agree to participate in one 30-minute video interview (either a virtual live interview or a pre-recorded interview) on Zoom regarding the subject area(s) we discussed on our prior call, and if you are speaking live you agree to show up at least 10 minutes before your interview so we can easily locate you in the crowd.
2. You agree to the interview being recorded by Lose Weight Now Summit.
3. Unleash AI for Business Summit agrees to provide the back-end coordination and production for this event.
4. Unless agreed upon separately, I understand I am not permitted to advertise any paid offers during my recorded video or live interview. I will only offer a free gift where people can opt-in to my email list.

Intellectual Property:

The material you share on your expert interview is, and will remain, solely yours. We are very protective of your content.

Lose Weight Now Summit owns the recordings and transcripts of the call, and Lose Weight Now Summit may re-purpose, re-sell, and re-use the recording indefinitely, and without compensation to you.

Lose Weight Now Summit will also make these recordings available to you at no cost at your request, and you are free to re-purpose, re-sell and re-use these recording indefinitely, and without compensation to Lose Weight Now Summit. In so doing, we ask that you identify Lose Weight Now Summit and the Host of the interview, and provide a link to our website

Lose Weight Now Summit will be offering a summit upgrade for participants to purchase the full summit interview series for only $27 to help us pay for the cost of the event.

Marketing Commitment:

You agree to send to your entire database three (3) solo emails to your total list (or whatever the number of emails we agreed to on our previous call), and you agree to send these solo emails within the promotion period

If, for some reason, you are unable to make the above noted marketing commitments, you agree to contact us at dave@loseweightnowsummit.comto make alternate arrangements.

Please sign the document below to acknowledge you have read the scope of this project and agree with our humble terms so we can confirm we are all aligned and in sync.

Your Signature (please type your name) *

Today's Date *

Subject *