2025 Western Chapter Speaker Form By filling out the form below, you are confirming that you have read the conference information and expectations below. I am participating as a(Required) Coordinator Moderator Speaker (Please select all that apply)Your Name(Required)(as you want it to appear on the EBA website and promotional information)Your Organization Name(as you want it to appear on the EBA website and promotional information)EmailPhone NumberEvent TitleSession Title(if the event has multiple sessions)Do you plan to attend the Welcome Reception on February 26? (5:00 - 7:00 (PM) Hotel Nikko 222 Mason St. San Francisco) Yes No Do you plan to attend the Speakers Dinner on February 26? (7:00 - 9:00 (PM) Ula Restaurant, 450 Post St. ) Yes No Are you currently a member of the EBA? Yes No I agree to do everything possible to meet the deadlines as outlined. I acknowledge and agree that the session will be photographed and used as part of social media or online promotions. Materials may be distributed to attendees ahead of the conference to comply with the CLE application process.(Required) I agree Skip back to main navigation