New Year’s Summit 2018 Presenter Form

Thank you so much for joining us!

We are thrilled you’ll be part of the first annual Health, Healing and Weight Loss New Year’s Summit!

Most of the questions below are required except for the Speaker Bonus Package info, so please put something in the space provided. Thank you.

Presenter’s Name:
Name of business and Website:
Best Phone Number:
Email Address:
Mailing address:
Please send your picture and short bio to use for our web page to [email protected] and title the subject of your email: Picture and bio for Summit I have sent it.
I will do this before my interview.
How would you like to be introduced?
Title of your presentation and 3-4 bullets of benefits from your talk.
OFFER: We recommend you offer something after your presentation for free to get more exposure or something between $19-$497. What is the link to your offer?
The retail price of your offer and the Special rate during the summit. Add Coupon Code if needed here:
MAILING AGREEMENT: This is a cross-promotional event for all 21 speakers to help spread the word and get the most exposure. A minimum of two emails are to be sent: one solo promotional email between January 1st- 12th must be sent out and one the day before your interview, which can be combined with other information you send to your list. What is the date you will send out your solo email between January 1st-12th:
What date will you add a blurb in your newsletter about the event between January 8-14:
What date will you promote the event in your social media platforms between January 1-14th? (Facebook, Twitter, Instagram, LinkedIn, Pinterest)
What is the size or your mailing list? (minimum 5,000 required)
How do we sign up for your mailing list?
OPTIONAL: Speakers who send out 2 solo emails and 2 social media postings can offer a bonus for even more exposure. This will be put on our “Special Speaker Bonus Package” that offers even more exposure for their business and message. Are you interested in being part of this package? Yes, I’d like to get the most exposure for my business.
No, thank you
If you are interested in the Special Speaker Bonus Package, what are the dates or date of your 2nd solo mailing and social media post between January 1st-14th? (Leave blank if you’re choosing not to participate in this bonus.)
What is the name of your bonus and 3-4 bullets of benefits? (Leave blank if you’re choosing not to participate in the Special Speaker Bonus Package.)
What is the link to your bonus? (Leave blank if you’re choosing not to participate in the Special Speaker Bonus Package.)
If you are choosing to be on the Special Speaker Bonus Package, please send a picture of your bonus to [email protected] and have the subject of your email read: Bonus for Summit I have done this
I will do this before my interview
Sign-up as an affiliate at: You will receive 50% of all sales from the upgrade package. I have done this
I will do this before my interview
Schedule your interview date and time by going to All video interviews are pre-recorded and done conversation style. I have done this
I will do this within the week
SPEAKER AGREEMENT: I hereby grant Women Getting Fit and Michelle Melendez the right to use photos, video or audio recorded from my interview. I waive any rights of ownership or copyright to the material in which I appear and acknowledge that no financial compensation is provided. I understand that I will be sent a copy of my Interview and can use it anyway I’d like. By committing to speak on the Women Getting Fit New Year’s Summit, it is implicitly implied that you agree to these terms. Yes, I agree