*1.Speaker Full Name(Required.)

*2.Title / Position(Required.)

*3.Organisation / Company Name(Required.)

*4.Email Address(Required.)

*5.Phone number(Required.)

*6.Mobile Phone number(Required.)

*7.Presentation Title(Required.)

8.Contributing Authors:

Full Name & Organisation

Full Name & Organisation

Full Name & Organisation

*9.Abstract Text (max 250 words)(Required.)

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

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!
Best regards,
PDA Europe Conference Committee