The Well-Comm Network

Panelist Form

For Members Only

A few times a year we will have an Event where Members will be invited to participate in a Panel focused on specific topics chosen by our Members.

If you have been invited to be part of a panel or would like to be considered for one, submit you information below.

Although Membership is not required to attend our events, there are a variety of benefits to Become a Member... This is one of them!

(please only use this form if you are already a member)

Not a Member Yet?

Become a Member Here

Panelist Form for Members Only

Name:

Email:

Cell # (only for our files):

Work # (where customers/clients/colleagues can contact you):

Business Name/Occupation:

Your Location:

Link to Your Website or Other Link You Would Like Us to Share on Your Spotlight and Event Name Tag QR Code: (please provide the actual link)

Describe the Services/Products You Provide:

Tell Us About You & Your Business and topics that you have experience in speaking about and providing inspiration for. This will also be used in promotional materials if chosen, so please only give us the following: Two Paragraphs (300 characters max each with spaces)

What links/social handles would you like included when being promoted? (Please provide the actual links):

In addition to your links, which of the following would you like to be included in your Spotlight Post:

Cell #
Business Phone #
Email
None of the above

Send Two Images to thewellcommnetwork@gmail.com with your name and business in the email: (check off boxes to indicate you have sent them)

1. Your Logo if you have one (png or jpg)
2. A photo of you (png or jpeg) optional
3. Have already sent with Members Spotlight

Is There Anything Else You Want Us To Know?