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2019 Speaker Agreement

Please ensure that you have read through all of the Speaker information for the 2019 National Conference before completing the Speaker Agreement below.

By completing this form you agree to all of the time frames and stipulations outlined on these information pages. If you have any questions please don't hesitate to contact the Society.

This agreement is due by 5pm Monday 27 May 2019.


Contact Information

Speaker 1

First Name

Last Name

Company Name

Position

Contact Number

Email

Speaker 2
(If you do not have more than one speaker please skip)

First Name

Last Name

Company Name

Position

Speaker 3
(If you do not have more than two speakers please skip)

First Name

Last Name

Company Name

Position

What is the title of your presentation? 

Please confirm the title of your presentation. This will be used for all marketing and on the Conference website. If this form is not completed by the due date we will use the title that was submitted during call for papers.

Speaker Agreement

We look forward to your participation in the AMSRS 2019 National Conference.

Please ensure you have a thorough read through of all of the information outlined in the Speaker section of this website, particularly the due dates section.

By checking the below boxes you understand all that is required of you as a conference presenter and you agree to the timeframes and stipulations outlined in both this form and the speaker information pages.

Speaker Agreement


Please sign your name below to indicate your understanding of the above.

E-Signature