SPEAKER BOOKING FORM

Speaker Contact Details
Company Name*
Speaker Name if different*
First Last
Business Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code
Tel No
Mobile*
Email*
Website
Facebook
Twitter
Instagram
If you have examples of previous talks, please provide links
Product or Service your company offers*
Title of talk or subject matter*
Please complete full details above for our records, however if there are any contact details that you would not like to appear in the Visitors Guide or online, please give us details here
Visitor Programme Entry
Please provide a short biog*
Please upload a high rez JPEG company logo, headshot or image to appear on our website, in our Visitors Guide & for Social Media promotion*
Speaker Set Up Requirements
Length of talk in minutes
Do you require any furniture - tables, chairs etc*
If so, please specify
Electric point required*
- Yes
- No
Do you require any audio visual equipment*
Do you have a disability
If so please specify so that we can assist you if required
Do you have any food allergies or dietary requirements*
Please note: We provide up to 2 lunches and entry passes for each speaker. If you require additional staff members to attend due to the function of your talk please contact the office to discuss further.
Payment Information & Booking Options
We offer speakers 2 options in regard to booking/payment for your space. Please refer to our Information Pack for full information. If you would also like to book an Exhibition Stand, please complete an Exhibitor Booking Form in addition to this form.
Please specify your preferred booking option:*
- Option A
- Option B
By signing this booking form, I confirm that I have read and understood the Terms and Conditions.
Print Name*
First Last
Date*
MM
DD
YYYY
Untitled
- First Choice
- Second Choice
- Third Choice

SPEAKER BOOKING FORM

Speaker Contact Details

Visitor Programme Entry

Speaker Set Up Requirements

Payment Information & Booking Options