Application form

Organisation*
Contact person*
Telephone number*
E-mail adress*
Date programme*
DD slash MM slash JJJJ
Time programme
- 17:00 - 18:30
- 20:00 - 21:30
- Different time
Drinks?*
Book sale?*
Number of speakers
Livestream from the hall/Zoom webinar
Title programme*
In cooperation with*
Introduction (about 50 words)*
Main text (about 200 words)*
Biography speakers (about 80 words pp)*
Image landscape (horizontal)*
Toegestane bestandstypen: jpg, png, Max. bestandsgrootte: 100 MB.
Copyright image*
Logo organisation
Toegestane bestandstypen: jpg, png, Max. bestandsgrootte: 100 MB.
Copyright
Image speaker #1
Max. bestandsgrootte: 100 MB.
Copyright #1
Social media information speaker #1
Image speaker #2
Max. bestandsgrootte: 100 MB.
Copyright #2
Social media information speaker #2
Image speaker #3
Max. bestandsgrootte: 100 MB.
Copyright #3
Social media information speaker #3
Image speaker #4
Max. bestandsgrootte: 100 MB.
Copyright #4
Social media information speaker #4
Invoice information*
Are there wishes concerning accessibility?
Other comments
Permission to distribute images and recordings*
I give permission for the distribution of images and recordings recorded during this programme.