Speaker information form

Dear Speaker,

Thank you for helping us to make the Ev Expo and Conference great in 2019.

Please take the time to answer the below questions, attach a photo and send through your information so that we can start putting your bio on our conference website.

Please feel free to ask if you have any questions at all.

Thank you kindly,

Simone Pfuhl
Treasurer - Conference Organising Committee
M: 0490 061 627
Enquiries: info@theevexpo.com

Name*

First NameLast Name

E-mail*

So that we can get back to you

Mobile Number*

Enter 61Phone Number

Please provide a brief bio about yourself (100 words or less)*

Should we need to know anything about this file?

Company you are presenting (if applicable)

Company website (if applicable)

A brief title of your talk*

A summary of the content (100 words or less)*

Please note that speakers will be alloted a time slot of approximately 20-30 minutes

Do you have any dietary requirements? If so please advise*

Gluten free/ dairy free/celiac/vegan/vegetarian etc

Special presentation requirements.

We will provide a windows laptop with PDF and PowerPoint capabilities. If you prefer using MAC, please provide your own laptop and plug to plug into HDMI. Presenters will have lecturns and microphones available.

We are proposing to video the event. Please*

I agree to be video tapedI do not agree to be video tapledI agree for my talk to be posted on the EV Expo websiteI do not agree for my talk to be posted on the EV Expo websiteI agree for my talk to be created into a DVD for sale for people who can't attend the conferenceI do not agree for my talk to be created into a DVD for sale for people who can't attend the conference

Please upload a colour photo of yourself for the conference brochure and conference website. A head and shoulders photo (without sunglasses) is required, with a max. file size of 300MB.*

Upload a File

You can upload any type of file. Max: 300 MB

Signature - please use your mouse to sign*