Speaker Submission Form

If you experience any difficulties using this form then please contact web@ukimediaevents.com
Speaker Details

Contact Details
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Proposal Details
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Additional Contact Details

Only complete this section if you are adding another contact for the speaker (e.g. a secretary, PA, assistant, etc.)

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Declaration

I understand that the information I have provided, including my professional bio, company logo and portrait image, will be considered for inclusion in the conference schedule and used for publishing on the website and in the conference program and conference proceedings should this proposal be accepted for the conference.




By completing and submitting this form, you understand and agree that the publisher and event organizer UKi Media & Events, a division of UKIP Media & Events Ltd, may use your personal data in accordance with our privacy policy which may be viewed on our website ukimediaevents.com.

Please note: the "Submit" button will appear when the ‘Declaration’ choice above has been completed.