1. Name

2. Phone

3. Email

4. Organization

5. Position in Organization

6. Website (Optional)

7. Country of origin

8. Pick a goal you are promoting or will promote that relates to sustainable development sustainable development onesustainable development twosustainable development three

9. State any other goal you are promoting

10. Type of guest

11. Tell us something about this goal (check list)

a. It is an innovation   b. Use of waste c.  It resulted in a new product
d. Boost “net zero” target   e. Reduction in carbon footprints  f. Other

12. State either 5-10 challenges, ten opportunities ten issues, etc that concerns the goal.

13. Mention 5-10 resources that will be required to achieve the goal (fund, equipment, law, training).

14. List any five new or existing technologies, innovations or products that will enhance the attainment of the goal 12345

15. List five personalities or entities working to achieve this goal that you wish to synergize with 12345

16. Preferred date for your appearance on the show (anniversaries such as birth, job, marriage, founders day, national day, international days etc)

17. Indicate preferred country for the show (pick from list of countries) AFGHANISTANALBANIAALGERIAAMERICAN SAMOA ANDORRAANGOLAANGUILLAANTARCTICAANTIGUA AND BARBUDAARGENTINAARMENIAARUBAAUSTRALIAAUSTRIAAZERBAIJANBAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBERMUDABHUTANBOLIVIABOSNIA AND HERZEGOWINABOTSWANABOUVETISLANDBRAZILBRITISH INDIAN OCEANBRUNEI DARUSSALAMBULGARIABURKINA FASOBURUNDICAMBODIACAMEROONCANADACAPE VERDECAYMAN ISLANDSCENTRAL AFRICAN REPUBLICCHADCHILECHINACHRISTMAS ISLANDCOCOS (KEELING) ISLANDSCOLOMBIACOMOROSCONGOCOOK ISLANDSCOSTA RICACOTE D#8217;IVOIRECROATIACUBACYPRUSCZECH REPUBLICDENMARKDJIBOUTIDOMINICADOMINICAN REPUBLICEAST TIMORECUADOREGYPTEL SALVADOREQUATORIAL GUINEAERITREAESTONIAETHIOPIAFALKLAND ISLANDSFAROE ISLANDSFIJIFINLANDFRANCEFRENCH GUIANAFRENCHPOLYNESIAFRENCHSOUTHERNTERRITORIESGABONGAMBIAGEORGIAGERMANYGHANAGIBRALTARGREECEGREENLANDGRENADAGUADELOUPEGUAMGUATEMALAGUINEAGUINEA-BISSAUGUYANAHAITIHEARD AND MC DONALD ISLANDSHONDURASHONG KONGHUNGARYICELANDINDIAINDONESIAIRANIRAQIRELANDISRAELITALYJAMAICAJAPANJORDANKAZAKHSTANKENYAKIRIBATIKOREA (NORTH)KOREA (SOUTH)KUWAITKYRGYZSTANLAO PEOPLE#8217;S REPUBLICLATVIALEBANONLESOTHOLIBERIALIBYAN ARAB JAMAHIRIYALIECHTENSTEINLITHUANIALUXEMBOURGMACAUMACEDONIAMADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMARSHALL ISLANDSMARTINIQUEMAURITANIAMAURITIUSMAYOTTEMEXICOMICRONESIAMOLDOVAMONACOMONGOLIAMONTSERRATMOROCCOMOZAMBIQUEMYANMARNAMIBIANAURUNEPALNETHERLANDSNETHERLANDS ANTILLESNEW CALEDONIANEW ZEALANDNICARAGUANIGERNIGERIANIUENORFOLK ISLANDNORTHERN MARIANA ISLANDSNORWAYOMANPAKISTANPALAUPANAMAPAPUA NEW GUINEAPARAGUAYPERUPHILIPPINESPITCAIRNPOLANDPORTUGALPUERTO RICOQATARREUNIONROMANIARUSSIAN FEDERATIONRWANDASAINT KITTS AND NEVISSAINT LUCIASAINT VINCENT_GRENADINESSAMOASAN MARINOSAO TOME AND PRINCIPESAUDI ARABIASENEGALSEYCHELLESSIERRALEONESINGAPORESLOVAKIASLOVENIASOLOMON ISLANDSSOMALIASOUTH AFRICASOUTH GEORGIASPAINSRI LANKAST HELENAST PIERRE AND MIQUELONSUDANSURINAMESVALBARDSWAZILANDSWEDENSWITZERLANDSYRIAN ARAB REPUBLICTAIWANTAJIKISTANTANZANIATHAILANDTOGOTOKELAUTONGATRINIDAD AND TOBAGOTUNISIATURKEYTURKMENISTANTURKS AND CAICOSISLANDSTUVALUUGANDAUKRAINEUNITED ARAB EMIRATESUNITED KINGDOMUNITED STATESURUGUAYUZBEKISTANVANUATUVATICAN CITY STATEVENEZUELAVIET NA ISLANDS (BRITISH)VIRGIN ISLANDS (U.S.)WALLIS AND FUTUNA ISLANDSWESTERN SAHARAYEMENZAIREZAMBIAZIMBABWEOTHER

18. Indicate preferred venue for the show a. Public park b. Hotel garden c. Shopping mall d. Corporate office e. Educational institutions

19. Estimated number of your friends, relations, associates, colleagues, followers, that may watch your appearance at the show

20. Please state how many followers you presently have on social media

Twitter

LinkedIn

Instagram

Facebook

22. Indicate the type of food (soup), you will love to eat at a reception holding after the show (You can check CNN World’s Best Soups for a guide)

23. Indicate the type of drink (s) you will love to have at a reception holding after the show