Speaker intervention confirmation

By completing this form, I agree to speak as a speaker.

Title of your conference in french

Title of your conference in english

Please summarise the content of your conference in a few lines (approx. 3 lines) What key message(s) would you like to convey to the audience? (This summary will be used for external communications and to summarise the event)

Could you give us a brief summary of the content of your conference (approx. 3 lines in English)?

Can you give us a question that the audience is likely to ask you at the end of your talk?

I will speak in

Anglais

Français

First name

Name

E-mail

Telephone number

Company

Job

A brief description of your career:

If you are human, ignore this field