SPEAKER REGISTRATION FORM

Dear Speaker,
please click on the "Start" button below and fill the form out in English language.
Thank you!
For any need please contact:
Maria Katsira
Jr. Speaker Coordination and Communication @ NetComm Suisse
maria.katsira@netcommsuisse.ch
Tel. + 41 (0)91 210 47 36
Start
 
Name *

 
Surname *

 
Mobile phone no. *

Please write your mobile no. with international prefix (e.g. +41 ...), this will be used to contact you in urgent cases.
 
Direct phone no. *

Please write your direct fixed line no. with international prefix (e.g. +41 ...), this will be used to contact you for general issues.
 
Birth Date *

Format: DD/MM/YYYY
 
Short biography (150 to 250 words) *

 
Picture (close-up on the face) *

 
Company name *

 
Job title *

 
Company description (150 to 250 words) *

 
Company logo *

Please upload ONLY .ai or .eps vector files.
 
Company full address *

 
Company website *

 
Do you authorize NetComm Suisse to upload your presentation on its website in order to share it with the attendees? *

     
 
Do you authorize NetComm Suisse to upload your presentation on its website in order to share it with its e-commerce community? *

     
 
By marking this box you authorize NetComm Suisse to use the provided data about your company (name, description and logo) on its online and offline marketing material *


Thanks for your availability!
- NetComm Suisse Team -
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