Request a CHIME Speaker Looking for the perfect speaker for your upcoming seminar, conference or educational event? Please fill out the form below as completely as possible, or email us at [email protected]. Upon receipt, CHIME staff will contact you regarding your request. Benefits of working with the CHIME Speakers Bureau: • Access to healthcare IT industry leaders for speaking engagements• A central point of contact for securing and contracting speakers• Streamlined contracting and payment engagement process Contact informationPoint of contact First Last TitleOrganizationPhoneEmail We are looking for a ... Keynote Speaker Breakout Presenter Presentation Moderator Group Facilitator Other Please indicate your speaker budgetPlease indicate the desired topic(s) for this speaking engagementAre you interested in a particular speaker? If so, please indicatePlease include any additional information about your event that will help us make the best speaker recommendation.