Please check spelling and grammar to make the most of your entry and remember there is a 50 word limit for the biography.

* 1. Please provide your name

* 2. Please provide your postal address - optional

* 3. Please provide your email address

* 4. Please provide your website address - optional, but strongly recommended

* 5. Please name up to five of your talks - titles only

* 6. Which subjects do you cover? Please tick as many options as apply

* 7. Which areas are you prepared to travel to? Please tick as many areas as apply

* 8. Can you supply testimonials?

* 9. Please include a brief biography - maximum 50 words -

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