AvMA - Speakers Checklist

Name*

Please enter your name as you would like it to be displayed on conference programme

Title First Last

Job title*

Organisation/Hospital*

Twitter handle

Email

Mobile number*

Please provide your mobile phone number in case we need to contact you on the day of the conference

Time of arrival

What is your estimated time of arrival on the day of the conference?

:

Biography

Please provide a short (approx. 10 line) biography which will be used on conference page and delegate documentation pack.

File

You can upload your biography here.

Drop files here or

Accepted file types: pdf, doc, docx, , Max. file size: 256 MB.

Profile Photo

Max. file size: 256 MB.

Please upload a profile photo which might be used on email, website and social media updates.

Comments

In this space you can update the title and bullet points for your presentation or make any other comments

Who can we contact if you are unavailable?

Audio Visual Requirements

AUDIO VISUAL REQUIREMENTS

Please indicate which audio visual equipment(s) you will require for your presentation. Please note that an LCD projector and laser pointer will be provided in all conference rooms.

Laptop Model

All laptop owners must bring their own power cable and battery

Other – please give full details*

CONFERENCE ATTENDANCE (primarily for catering numbers)

This will help us organising catering numbers and be prepared for any diet requirements.

Lunch

I will be attending the conference on Thursday and require lunch
I will be attending the conference on Friday and require lunch
I do not require lunch

Dinners

Please indicate if you will be attending the evening functions

Welcome Event – Wednesday 20 March 2024
Mid- Conference Dinner – Thursday 21 March 2024

Partner attendance

I’d like to bring a partner to the Welcome Event (£48 + VAT)
I’d like to bring a partner to the Conference Dinner (£82+ VAT)?

Diet Requirements

Accommodation Requirements: (if applicable)

Please let us know if you require accommodation during the event.

Which night (s) do you require accommodation?

Wednesday Night – 20 March 2024
Thursday Night – 21 March 2024
I do not require accommodation

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Double occupancy

Do you require a double occupancy supplement of £30+VAT per night?

Yes
No

Speakers Checklist – ACNC 2024

Speaker’s Checklist – 34th Annual Clinical Negligence Conference, 21-23 March 2024, Royal Armouries Museum, Leeds

Audio Visual Requirements

CONFERENCE ATTENDANCE (primarily for catering numbers)

Accommodation Requirements: (if applicable)