Speaker Registration Form

Thank you for registering your interest to be a speaker.

We will be in touch shortly.

Headshot Image

Please upload a headshot image that you would be happy for us to use in promoting the event

Please upload your headshot image file here. Our preference is for JPG or PNG file formats. Please limit the file size to no more than 500KB)

Please provide a brief description (max 150 words) of your proposed session, including key points and takeaways.

Please provide a short biography (max 150 words) highlighting your relevant experience and expertise:

Proposed duration of talk

Desired event type

Biennial conference

Annual events program

Other

LinkedIn Profile

Address

Best telephone contact

Best email contact

Organisation

Full Name