The Image Conference Brussels 2019 Call for Papers
SPEAKER PROPOSAL FORM
Address: ERASMUSHOGESCHOOL BRUSSEL, Campus Bloemenhof
Zespenningenstraat 701000 Brussels


SATURDAY 5TH AND SUNDAY 6TH OCTOBER 2019

Name(s) of presenter(s) *
Please enter your Name and Suname
Your answer
Institutional Affiliation *
Your answer
Email address(es) of presenter(s): *
Please double check for accuracy. Separate multiple email addresses with commas.
Your answer
Address, Postcode, Town and Country *
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Mobile phone number(s) of presenter(s) *
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Brief biodata for each presenter (50 words): *
Your answer
Proposed Title *
Title of presentation (maximum 10 words):
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Proposed Abstract *
Abstract (maximum 50 words):
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Presentation format: *
Choice one option.
Presentation theme *
Choice one option.
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