* 1. Name

* 2. Email address

* 3. Phone number

* 4. Organisation/company

* 5. Please write a brief speaker biography including details of any previous public speaking experience

* 6. What would be the proposed format of your session?

* 7. What would be the proposed title of your session?

* 8. Who would your session be aimed at?

* 9. Please write a brief outline of what your session would involve, including what you would expect delegates to gain from your session

* 10. Are you available on Monday 23rd October 2017?

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