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* 1. Speaker Full Name

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* 2. Title / Position

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* 3. Organisation / Company Name

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* 4. Email Address

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* 5. Phone number

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* 6. Mobile Phone number

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* 7. Presentation Title

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* 8. Contributing Authors (if any):

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* 9. Abstract Text (max 250 words)

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

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* 11. Invoicing details (please include your company VAT number)

In addition could you please provide us with a picture of yourself for the event website? 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 Annual Conference Committee

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