Speaker Full Name

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* 1. Speaker Full Name

Title / Position

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* 2. Title / Position

Organisation / Company Name

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* 3. Organisation / Company Name

Email Address

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* 4. Email Address

Phone number

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* 5. Phone number

Mobile Phone number

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* 6. Mobile Phone number

Presentation Title

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* 7. Presentation Title

Contributing Authors:

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* 8. Contributing Authors:

Abstract Text (max 250 words)

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* 9. Abstract Text (max 250 words)

Speaker's Biography (maximum 100 words)

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

Any Comment?

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* 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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