* 1. Speaker Full Name

* 2. Title / Position

* 3. Organisation / Company Name

* 4. Email Address

* 5. Phone number

* 6. Mobile Phone number

* 7. Presentation Title

* 8. Contributing Authors:

* 9. Abstract Text (max 250 words)

* 10. Speaker's Biography (maximum 100 words)

* 11. Any Comment?

In addition could you please provide us with a picture of yourself for the conference website and brochure? Please send it to Mélanie Collot at info@pda-europe.org

Many thanks for taking the time to fill in this form!
We look forward to seeing you in Bucharest,
PDA Europe Conference Committee

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