SPEAKER FORM

Welcome to I AM CREATION SUMMIT- September 19th - 21st, The Meru Convention Center, Sanur Bali

We are excited that you would like to become a speaker at the

I AM CREATION Summit on the 19th - 21st September 2025, at the Meru Center in Sanur Bali.

3 Days, 33 Global Change Makers and 3000+ attendees! Imagine the ripple effect that we can have in just 3 days.

Will your session be *

Talk

Workshop

Experiential

Movement

Performance

Panel Session

Other

If other please specify:

Your name - Please also disclose if you want to be called something different. *

Your title Eg. Best Selling Author, speaker, healer *

Name of your workshop – short and impactful! Eg Finding your creation. *

Short workshop description – What is it about? Who is it for? How will it unfold? *

Takeaway for participants – What will they receive from your workshop? The essence. *

We have 7 Pillars of Creation, Please select the top THREE you believe your session will fit into. *

I AM Purpose

I AM Wealth

I AM Power

I AM Impact

I AM Leadership

I AM Wellness

I AM Wisdom

Your bio... Please keep brief and use third person. *

What impact do you want to have on the world? *

Your Website & Social Media Handles - Please provide the full URLs to your website, social media profiles such as Instagram, Facebook, TikTok, LinkedIn, as well as any other links relevant to your talk or workshop. *

Are you happy to share a FREE Gift with the Audience, such as a bonus workshop? If yes, please provide details.

Best email address - Note: Please use an email you check *

WhatsApp number - You will be given a dedicated support team which will communicate via WA. Please include country code / location. *

Preference slot on speaking - Please be aware we will try our best to accommodate your selection. *

Friday 19th in the afternoon

Saturday 20th before lunch

Saturday 20th after lunch

Sunday 21st before lunch

Sunday 21st after lunch

Please give contact details email & WhatsApp of PA if relevant

Please upload original HD images and videos below.

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