Request a Physical Event

Name of your Chapter or SIG or SIF ^*

Event name ^*

Type of event ^*

Location of your event (Include full address and post/zipcode) ^*

Please tick this box to confirm the physical venue is fully accessible ^*

Event Date (YYYY-MM-DD) ^*

Start time ^*

End time ^*

Time zone ^*

Event description (minimum 200 words / 750 characters). This is the text that will be used to promote your event, so please give us as much detail as possible - including the main takeaways and why delegates should attend. You can expand the text box by dragging the lower right-hand side corner. ^*

Itemised draft or final agenda, with times if possible

Topic(s) covered (Min 1 - Max 3) ^*

If you selected 'Other' please detail your topic

Competencies (Min 1 - Max 3) ^*

Delegate rate for the event

Delegate price and currency - £/US$/€/CAD$ (if free, please skip this question)

Maximum number of delegate places (once this limit has been reached we will halt new registrations) ^*

When do you want to close registration (YYYY-MM-DD) ^*

Please tick this box if you require a final delegate attendance list (which then will be sent on the day the registration closes)

Please give details of any food or refreshments to be provided (otherwise type "n/a") ^*

Any additional information to support the listing or that needs to be collected from delegates upon registration

Please upload any additional files to support your application (e.g agenda, speaker bios, photos, venue maps, etc.)

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Please tick this box if you have a sponsor/host for your event

Please provide the contact information for your sponsor/host

Sponsor/host logo

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Please include the full name and email address of the Chapter / SIG / SIF Leader. If you are not the Leader, by filling this field in, you confirm you have approval from the Leader to submit this request on their behalf. ^*

Who is the primary contact for this event? ^*

Please tick this box if you require us to send a recap email to the Delegates (please check info button before ticking)

Request a Physical Event

Need help with your event submission? Contact the team!