Speaker Form

This form is to be completed by speakers who have confirmed their involvement in the conference with the Conference Secretariat. If you are not confirmed but are interested in presenting please submit an abstract or contact the Conference Secretariat.

Speaker Contact Details

Contact Numbers *

Please provide your area code. If you are outside Australia, please provide your country code.

PA Contact Details (if applicable)

Speaker Biography *

please limit to 150 words

Presentation Details *

Presentation Title

Presentation Synopsis

please limit to 500 words

If you are doing another presentation, please click here...
Audio Visual Requirements

Standard AV will be provided (i.e. laptop, projector, screen, microphone etc.). Please specify if you have any special requirements for your presentation

I give permission for my email address to be included in the conference handbook/app. *

 Yes  No

I give permission for my presentation/s to be recorded. *

 Yes  No

I give permission for my ppt slides to be synced to my presentation and made available to delegates (as a pdf) post conference. *

 Yes  No
Special Requirements

Please indicate if you require the Secretariat to organise anything in particular for your presentation or participation at the conference ie: dietary requirements

Would you like to connect with the conference on social media?

Please list your links here: twitter handles (eg: @dcconferences), Facebook links (dcconferences1), LinkedIn, YouTube channel, blog address etc

Upload Presentation Synposis and Speaker Photo

Presentation Synopsis should be saved in WORD format.

Speaker photo should be in JPG format with max size 1MB.

Contact us

For further information please contact the LCMC 2015 Secretariat:
DC Conferences Pty Ltd | Suite 103, Level 1, 3-5 West Street, North Sydney NSW 2060, Australia | PO Box 637, North Sydney 2059
P: 612 9954 4400 | F: 612 9954 0666 | E: lcmc2015@dcconferences.com.au

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