Speaker Proposal Form

DETAILS OF PRESENTER:

Mr Ms

Family name

First name


Address:

Street

P.O. Box

City

Postal Code

Country

State

Tel

Fax


Email (required)


I wish do no wish my e-mail address to appear in the Index of Presenters in the Conference Programme.

We are unable to print your mail address unless a tick appears in the I wish box.

DETAILS OF PRESENTER (to be printed in the main conference programme):

1. Main Presenter

Place of work:
or freelance


Joint Presenter (s) if relevant

Mr Ms

Family name

First name

Place of work:
or freelance

E-mail address to appear in the Index of Presenters:

Presentation title (max 10 words):

Length of presentation:
Please indicate how much time you require for your presentation, including question time.

60 mins 90 mins

ABSTRACT FOR THE PROGRAMME:
Your abstract must accurately reflect the content of your presentation as this is how delegates decide which sessions to attend. Abstracts must be 50-60 words (click here for guidelines).




SUMMARY:
Your summary must outline exactly what you are going to talk about in the session and how the session will be structured. Summaries must be approx 250 words (click here for guidelines).



Name:

EQUIPMENT NEEDS:

Please tick any equipment you require here:

None
Cassette player DVD player Overhead projector
Data projector (bringing your own laptop) Video replay

REMINDERS:

• The closing date for receipt of speaker proposal forms is 15 November 2009.
• Any proposal received by Wine Pleausures after 15 November 2009 will be placed on a reserve list.
• Please check you have completed all relevant sections of the form correctly as incomplete forms not meeting the guidelines, will not be considered.

CONFERENCE BADGE:
Company where employed or other affiliation for inclusion on your conference badge (your name automatically appears on your badge):