TTIII - Application to Speak
Event Timing: March 2nd-4th, 2016
Event Address: HaMifal, Jerusalem
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Name *
Your answer
Email *
Your answer
Organization *
Your answer
What is the theme or title of the speech that you would like to make
Your answer
Please provide a summary of no more than 500 words about the discussion that you would like to present
Your answer
Please provide a biography of no more than 200 words about yourself that we can share on event materials.
Your answer
What days do you prefer to present? *
Which type of venue do you wish to speak at?
Are there any other details about your speech or the conference itself that you would like to share?
Your answer
I understand that I will have to pay 100 shekels (25 euros) per day of the conference or 200 shekels (50 euros) for the 3-day event. Half-price discounts are available for those with limited financial means.
Participation fees can be sent directly to Pirate Parties International by one of the following three methods. Due to limited space available for the event, your reservation will only be confirmed upon receipt of payment. Please indicate which you plan to use.
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