We have stoped using this form and no longer check the responses. Please send your request to speaking@circle-economy.com

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We have stoped using this form and no longer check the responses. Please send your request to speaking@circle-economy.com

Email *

Your phone number *

Name of event *

Website of the event *

Event Location *

Please include the Country, City and Venue where the event taking place

Event Organiser *

Name of the organisation behind the event

Event Description *

Please provide a short description of your event

Event Starting Date *

This is the date of the requested speaking slot

YYYY

Event Ending Date

YYYY

Topic of Requested Speaking Slot *

Type of Request *

Please add a short description of the session *

Who are the other speakers joining? Are there any powerpoint requirements? Etc.

Which Circle Economy Speaker are you requesting?

Leave blank if you are not requesting a specific person

Audience *

Please specify the type of audience you are expecting to attend the event

Audience Size *

< 20

20 - 50

50 - 100

100 - 200

> 200

Total Participants

Are travel and accommodation expenses for the speaker reimbursed? *

N.B. Circle Economy requires expenses to be covered when the speaking request involves international travel

Yes

Is there a speaker fee available? *

Yes

If the speaker fee is available, please specify the amount (type in "n/a" if not applicable) *

Do you have any additional notes?

A copy of your responses will be emailed to the address you provided.

Submit

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