Please enable JavaScript in your browser to complete this form.1. Full name, including title and honours (as you would like to appear on Congress materials): *Role *Organisation *Email *Additional email for correspondence cc (optional)2. Please upload a head shot image and biography for use in Congress materials (you can use the space below to copy and paste you biog if you prefer) Click or drag files to this area to upload. You can upload up to 2 files. 3. Can we share your email address with delegates?YesNo4. If you would like us to share additional contact or social media details with delegates, please provide them below:TwitterFacebookLinked inOther5. If you have any special dietary requirements, please state them below:6. If you have any other requirements (audio, access...), please state them below: (copy)7. On Monday 12th June from 14:00 to approx. 14:55, we will be touring NMITE's state of the art, lecture theatre-free NMITE Blackfriars campus. Would you like to join us for this activity?Yes pleaseNo thank youI'm not sure yet8. On Monday 12th June at 18:30 we are holding a public lecture with Professor Dame Athene Donald DBE, FRS. Would you like to join us for this activity?Yes pleaseNo thank youI'm not sure yet9. On Monday 12th June at 20:00, we will be hosting an all weather drinks reception and curry social. Would you like to join us for this activity?Yes pleaseNo thank youI'm not sure yet10. Our Congress dinner will be held on Hereford's stunning Left Bank on Tuesday 13th June at 19:00. Would you like to join us for dinner? Yes pleaseNo thank youI'm not sure yet12. Please indicate your approximate arrival time (this helps us with catering requirements)DateTime...and departureDateTime13. Do you require speaker accommodation either the night before or after your session? Please select:No thank youMonday 12th JuneTuesday 13th JuneIf you are planning to stay for both nights, please contact r.todd@epc.ac.uk to discuss your requirements.14. If you are preparing any slides, we would be grateful if you could send a copy of your presentation to Johnny Rich at j.rich@epc.ac.uk by Weds 7th June. Do you give permission for your presentation to be uploaded to the EPC website after Congress?Yes, including copyright permission (if you don't have permission for all images please let us know as we will need to remove those slides)NoN/A I won't be using any slides15. Is there anything else you would like us to know before the event? Please give details below:Submit
