RIMPA EOI Form for Event Presenters

Contact Name ^* (required)

Email Address ^* (required)

Contact Phone Number ^* (required)

Location City ^* (required)

Location State ^* (required)

Organisation ^* (required)

Website or LinkedIn ^* (required)

Please upload a Professional Headshot (only PNG format) - Head and Shoulders visible, high resolution, clear image (no a close up Selfie or Avatars) ^* (required)

Browse

Theme/Subject of Presentation ^* (required)

Abstract Submission (150 words)

Biography ^* (required)

What presentation format/s are you comfortable presenting? ^* (required)

Workshops

Panel Discussions

Case Studies

General Presentation

Other

Do you charge a fee to present? ^* (required)

Yes

No

If you answered ‘yes’ to the previous question, what is your speaker fee?

How many years of experience do you have presenting?* ^* (required)

< 1 Year

1-2 Years

3-5 Years

5-10 Years

>10 Years