Speakers Form

RURAL 2017 - Monday 27th - thursday 2nd

SPEAKERS INFO

First of all, THANK YOU for being part of Rural'17. We're very happy to have you!! In order to start organizing the workshops, equipments, schedules, activities and so on, please, fill the next form. We'll also use this data to buy your flight tickets to Barcelona.

Name Speaker 1 *

Name Speaker 1

First Name

Last Name

Address Speaker 1

Nationality Speaker 1

Passport ID Speaker 1

Date of Birth Speaker 1

YYYY

Name Speaker 2 (if applied)

First Name

Last Name

Address Speaker 2

Nationality Speaker 2

Passport ID Speaker 2

Date of Birth Speaker 2

YYYY

Departure airport

Flight Ticket - Let us know if you want to stay a few days more (before or after) in Barcelona, or if you have planned a different destination after the Rural

Talk /workshop details

(Please, give us a title and a brief summary of your topics)

Equipment/supplies

(Please indicate what, if any, equipment or supplies if any you will need for your presentation)

Additional comments

RURAL 2017 - Monday 27th - thursday 2nd

SPEAKERS INFO

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