SPEAKER REGISTRATION FORM PROFILE DETAILSName* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Suffix Position* Organisation* Organisation LogoMax. file size: 600 MB.Email* Mobile Number*Required to contact you on the day should there be any issues.Website Biography200 word limitProfile PhotoMax. file size: 600 MB.PRESENTATION DETAILSPresentation Title* Presentation Summary*150 word limitDo you require the use of embedded audio or video in your PowerPoint slides?YesNoNot sureSubmitting your presentationPlease submit your presentation in PowerPoint format to events@statewidemutual.com.au by Wednesday 14th July so that it can be checked prior to transfer to the conference AV technicians. If your file is too large for email please use Wetransfer. DIETARY, TRANSPORT & ACCOMMODATIONIn recognition of your contribution to our conference, Statewide Mutual will cover the costs of accommodation and breakfast, flights to and from Sydney, or parking at the venue should it be required. Please note that this does not include any telephone, room service, internet or mini bar costs charged to the room. Please advise if would like us to organise any of the following:Accommodation required on: Wednesday 25th August Thursday 26th August None at all Will you require parking at the the Sofitel Darling Harbour?YesNoWill you be attending both days of the conference?*Thursday 26th and Friday 27th August 2021YesNoIf not, which day will you be attending?*Thursday onlyFriday onlyWill you be attending the Conference Dinner?*Held on Thursday 26th August at The ICC Sydney.YesNoDo you have any dietary requirements?None at allGluten FreeDairy FreeVegetarianOTHERPlease outline any other dietary requirements you have and we will endeavour to address these.* Do you agree to having a recording of your presentation and copy of your slides available on our Member Centre portal?* I agree
