SPEAKER’S RESPONSE FORM

1. I would like to speak on: Day OneDay TwoDay Three

2. THE TITLE OF MY PRESENTATION IS:

3. SHORT ABSTRACT (40/50 WORDS) COVERING THE MAIN FEATURES OF THE TALK. THIS WILL BE USED FOR PROMOTION.

4. CV (C. 75 - 100 WORDS). (You may enclose a separate sheet or email this to us). Please also include a photo.

5. We would like to promote you and your work in association with the event. Please advise us on the job titles and industry sectors that we should target in our promotion to reach the "right" delegates. We would also value your suggestions on the professional for bodies we should
approach for collaboration. We value your input and are much obliged for your ideas. Please set these out below or let us have a list as a separate attachment.

6. We would also like you to suggest a few keywords from the title of your presentation and from the abstract that we could include for SEO

(Signature)

(Date)

NB No fees or expenses payable without prior agreement

PLEASE RETURN TO: Dhira Mitra

Tel: Direct: +44 (0)1895 819 479 / 477   Mobile: +07796 17 27 28   Email: dhira.mitra@unicom.uk