1. About you (required)

Name:

Postnominal letters:

Surname:

Company / organisation:

Job title / position:

2. Attending the conference (required)

Will you be attending on both days?

Which meal you would like for the networking event?

How will you be travelling to the conference?

Please tell us where you will be travelling from / to and what dates you will be travelling so we can cover the expenses:

Your speaking topic (if you have it yet):

Your bio:

Please upload a photograph of yourself, similar to the example on the left (maximum file size 5mb):

Please tell us if you have any dietary preferences / requirements:

Please tell us if you have any accessibility needs:

Please confirm:

I have double checked my answers to ensure all relevant information has been submitted.

Please confirm:

I'm happy for Ascendant Solutions to use information provided in marketing and promotional materials for the conference