The contact information you provide on this form will be used for future correspondence for this speaking engagement. If your information changes, please email Jan Pieter Zuijderduijn, at j.zuijderduijn@tricentis.com with updated information. In addition, you agree to receive periodic communications, emails and promotional materials from Tricentis related to products and services and can unsubscribe at any time.

The submission deadline is 31 August 2019.

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* 1. Salutation

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* 2. First Name

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* 3. Last Name

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* 4. Email Address

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* 5. Organization

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* 6. Job Title

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* 7. City

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* 8. State or Province
(For U.S. and Canada Only)

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* 9. Country

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* 10. Phone

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* 11. Presentation Title

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* 12. Main Message
In one sentence state the main message of your presentation.

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* 13. Presentation Description
Briefly describe the challenge, problem, or situation you will be addressing during your talk. Next, detail your approach using examples about how you plan to discuss the topic—be specific and give examples (usually two or more sentences). Finish by succinctly focusing on the takeaways and learnings that an attendee will leave with and be able to apply to their situation (approximately 150-200 words in paragraph form).

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* 14. Biography
In about 100 words, tell us about your industry experience and qualifications.

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* 15. Please attach your most current headshot.
This will be used on the Accelerate Vienna 2019 website and promotions. Square and full color is preferred.

JPEG, JPG, PNG file types only.
Choose File

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* 16. Yes, I agree to receive periodic communications, emails and promotional materials from Tricentis related to products and services and can unsubscribe at any time.

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