7.5.2021 Speaking Request Share on: Image ACER Speaker Request form Indicates required field Personal Information Your name or contact name Your company or organisation Email address Title/Position Type of organisation - Choose one role -Trade associationRegulatorPublic authoritySingle firmOther Telephone number Event details Event name Event format - Choose one option -OnlineIn personHybrid Audience (sector/level) - Choose one option -Energy IndustryBusiness leadersMinistersPublic Will media be present? - Choose one option -YesNo Date If in person, where (city, country)? Expected number of attendees If yes, which media? List of confirmed speakers Have you considered the diversity of the speakers? If yes, how? Agenda (provide the link or paste it below) ACER speaker Topic/tiltle and lenght of expected ACER address Requested speaker (if known) ACER participant's expected role - Choose one option -Key note speakerOpening remarksPanellistSpeaker/presenterClosing remarksModeratorRoundtableMeeting attendanceOther Is there a fee to attend this event? - Choose one option -YesNo Are travel and accommodation reimbursed? Please specify - Choose one option -YesNoTravel onlyAccommodation only If other, please specify If yes, please specify the amount Have you approached anyone else in ACER about this? Who? Additional details Any additional details I agree with ACER data protection.