Professional Advisor and Speakers Bureau Form

Every Brain Matters is a community and a unifying alliance of organizations and individuals that educate about marijuana and the dug culture expansion. We work together to bring a cultural movement through advocacy, support/recovery, visual public awareness by encouraging the use of the EBM merchandise, and by promoting optimal brain and environmental health. Please fill out the form below to become an advisor and speaker.

Name*
First Last
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Website
Personal Email*
Business email (this email will be linked on EBM website for people to contact you.*
Upload bio and credentials, experience*
Upload picture to be used on the website. If you have a video presentation to share, please upload that too.*
Max. file size: 3 MB.
Consent*
I consent that Every Brain Matters is allowed to use my information publicly, except personal information like address, phone numbers and personal emails.
Consent
I agree to use the Every Brain Matters Logo/slide at least one time in my presentations/public appearances when appropriate.
For your convenience, a slide will be provided for you to use that will:
– invite people to our website
– sign up for our newsletters/support and advocacy groups
– visit our store
– become a member on Patreon
– subscribe to our YouTube Channel
I agree with the core mission and values of Every Brain Matters Alliance located at this link: https://everybrainmatters.org/about-us/*
- Yes
I agree to collect names and email addresses to grow our alliance and bring a cultural change/awareness when possible.*
- Yes
Please check:
- Yes, I will be a professional advisor for Every Brain Matters
- Yes, I will a member of the Every Brain Matters Speakers Bureau