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Register a Keynote Speaker

Register Form

Organisation nominating this Keynote Speaker at the RHC:
Organisation Contact Person:
Contact Person Email:
Delegate registration has been completed:
Name of Speaker:
Please select the SubTheme:
Title of Abstract:
Abstract:
Biosketch not more than ½ page:
Please upload high resolution (Max 2MB) picture of speaker:
Check the photo before uploading: size of file, head & shoulders only, speaker clear against the background
Speakers Email Address:
Expected RHC attendance:
Accommodation Required:
Note: a room at the venue will be booked.
Thursday: Friday: Saturday:
Travel:
Our organisation has informed the speaker that there may be insufficient funds to cover the accommodation & travel arrangements and in this case: