Thank you for being part of an upcoming Illinois Bankers Association event! We’re excited to have you join us. To help our team prepare event materials, promote your participation and ensure we have everything needed for a successful presentation, please complete the information below. The information provided may be used on the IBA website, event materials, emails, social media and other promotional communications. Default Page Name This field is required This field needs to be a valid value Preferred Name (How would you like your name displayed in event materials) This field is required This field needs to be a valid value Credentials / Designations (Examples: CPA, JD, Ph.D., CRCM) This field is required This field needs to be a valid value Job Title This field is required This field needs to be a valid value Organization Name This field is required This field needs to be a valid value Mailing Address This field is required Mailing Address needs to be a valid email address. City, State & Zip This field is required This field needs to be a valid value Phone Number This field is required This field needs to be a valid value Email This field is required Email needs to be a valid email address. Communication Lead/Contact Person This field is required Communication Lead/Contact Person needs to be a valid email address. Bio (approximately 100–200 words for use in event materials) This field is required LinkedIn Profile URL This field is required LinkedIn Profile URL needs to be a valid email address. Professional Headshot (a high-resolution professional headshot, preferably JPG or PNG) File is required Additional Comments or Notes This field is required Nice try spambot