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Home SPEAKER APPLICATION FORM

27-28 NOVEMBER 2019, ExCeL | 020 8505 7073 |

SPEAKER APPLICATION FORM

Applicant

Session & Speaker

Submission

I would like to*

submit a session proposal

be considered as a panellist

The applicant is the speaker*

Yes

No

First name*

Last name*

Job title*

Email address*

Company*

Telephone number

I am based in*

I am*

From*

What of the following best describes your position? *

Board Director

CEO / COO / President / Chairman

Consultant

Executive

Head of Department

Manager with Staff

Manager without Staff  

Non Board Director

Owner/Proprietor

What is your primary job function?*

Energy Management

Engineer / Installer / Technician

Environment & Sustainability

Facilities / Estates / Property Management

Finance & Accounting

Fleet Management

Health & Safety, Quality and Enivronment (HSQE)

Human Resources

IT / Data Center / Telecoms

Investor

Legal / Compliance / Risk Management

Logistics & Distribution

Marketing / Communications / PR

Operations

Procurement / Purchasing

Researcher / Analyst

Sales / Business Development

Surveyor

Session details

Please let us know a few areas of expertise so we can match your profile with any relevant opportunities we may have in our panel sessions

What is the format of your session?

End-User Presentation

Panel Discussion

Case Study

Session Title*

In which theatre(s) your session would fit best?

Best Practice, Career and Training

Sustainability and Climate Change

Built Environment, Technology and Innovation

Strategy, Regulation and Compliance

Flexible Demand / DSR

Other Utility

Short Synopsis*

Session Take Away

Exactly what will delegates learn in your session - please list as separate points.

Intended Audience

Use job titles or specialist areas of responsibility or roles

Speaker details

Name*

First

Last

Job tile*

email*

Please provide a link where speaker Bio and Headshot are hosted (e.g. linkedin profile)

Our visitors rate more highly presentations including the end client. If you are able to bring your client please enter her/his name, job title and company

Submission

Would like to enter the EMA Awards to be held on 27th November at EMEX?

Yes please

No thank you

How did you hear about us?*

Association

Email from us

From a colleague / speaker

Publication

Search Engines

LinkedIn

EMA Magazine

Other

If you are not already exhibiting and wish to find out more please tick this box.*

Yes please

No thank you

By clicking 'submit', you agree that the organiser (HEELEC LTD) and or the Energy Managers Association (EMA) can contact you with further information relating to your session proposal and other related show information.*

Yes I agree

This field should be left blank

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