Please complete this form by Monday, June 5, 2017.
First name *
address will be used for all correspondence)
Title of proposed session
Additional presenters' names (if any)
Organisation and location of additional presenters (if any)
Outline of session (100-200 words) for Conference brochure and website.
(May be edited to suit space requirements.)
As well as the normal printed program, it is proposed to make a version of the program available to participants on their mobile device. See further instructions under On-line program on your tablet or phone.
Preferred session length and proposed structure
Hands on activity
Interactive, hands on session
Short biographical statement for the introduction of your session.
(May be included in Conference brochure and program and edited for space.)
We'd like to publish your picture to accompany your bio.
Yes, I will provide a 'head and shoulders' pic for use on the website.
Send to email@example.com
Nominate the focus for your session. Mark as many as apply.
WiFi will be available for all participants
A datashow projector and computer will be available in all rooms.
Indicate if you need any of the following for your session
Detail any other technology requirements.
Note: Complex requirements need to be confirmed prior to the conference.
As well as a printed program it is proposed to make the program available to participants on their mobile device. So, in addition to the session outline provided previously, you may include links or additional documents for participants.
Will you have links or additional documents for the online program?
Please complete this form by June 5, 2017.
Presenters will be notified by June 15, 2017 of their inclusion in the Conference program.
Cheryl Wiltshire 0437 972 043
Post: Northbridge Post Shop, PO Box 313, Northbridge WA 6865