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ALTERNATIVES SPEAKER PROPOSAL

1. Contact details of the person making this application:
Full Name:
Telephone Number
(incl. international dialling code):
E-Mail Address:
Postal Address:
2. Contact details of Speaker, (if different from above):
Full Name:
Telephone Number
(incl. international dialling code):
E-Mail Address:
Postal Address:
3. Please select the purpose of this proposal (please tick all that apply):
4. Please give a suggested title for your proposed event
Talk Title:
5. Please provide us with no more than two paragraphs outlining what you
would like to talk about and what the content would most likely include:
Talk Description:
6. Your Website:
Website URL:
7. Social Media
Links to Social Media pages you use:
8. Any other comments / material you want to add to your proposal. Please
also let us know here if your event would have any special requirements
Other Comments:
Submit Proposal!

Your application will be added to our proposal list which is reviewed once a month,
however at busier periods it could take us a little longer getting back to you.
 
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