INFEU Keynote Speaker Information Form

*This information is very important. It will be used to register you to attend Infosecurity Europe as a speaker, therefore please ensure that you complete your full contact details and privacy preferences. Your details (name, title and company name) as they appear below will also be used for all brochures, web copy and other relevant marketing materials.

Speaker Information

Name

Job Title

Company

Department

Address

Phone Number

Mobile Number (required so we can contact you if necessary)

Email

Twitter handle (if applicable)

PA's details (if applicable)

Name

Phone Number

Mobile Number

Email

Please upload the following in the correct format:

Speaker bio (no more than 100 words)

Words left: 100/100

Headshot photo (.JPEG)

Uploading, please wait...

Upload

Press and Communications

Are you happy for our team to contact you regarding possible press opportunities around Infosecurity Europe?

Yes No

If yes, please provide the PR contact within your organisation below:

Name

Phone Number

Mobile Number

Email

Are you interested in contributing to any of the following activities before, during and/or after Infosecurity Europe?

Blogging‎ Speaker Interview (written)‎ Speaker Interview (video, after your talk)‎ None of the above‎

Please note:

- The programme schedule is provisional until a final draft has been confirmed. Any restrictions on your time should be clearly explained above.

- Any other special requirements should be conveyed to the Content Manager before the event.

Unfortunately we are unable to cover speaker expenses.

Your Privacy

By applying to the programme, you agree that Reed Exhibitions Limited and its affiliates may send you information on related events and services.

I do not wish to be contacted by Infosecurity via:

Email‎ Mail‎ Phone‎ SMS‎

I do not wish to be contacted by Reed Exhibitions via:

Email‎ Mail‎ Phone‎ SMS‎

Have any more questions? Please contact Ana Flores, Conference Executive, Infosecurity Europe: analoreto.flores@rxglobal.com

Marketing Preferences

By submitting this form, you may receive information on related events and services from Reed Exhibitions Limited. You can amend your communication preferences if you do not wish to receive such information: to do this click on this checkbox to display your options and amend your preferences.

I do not wish to be contacted by:

Infosecurity Europe

Email‎ Post‎ SMS‎ Telephone‎

Reed Exhibitions Limited

Email‎ Post‎ SMS‎ Telephone‎

Privacy Policy

I agree to the Privacy Policy.

Terms & Conditions

I agree to the Terms and Conditions.

Event Edition

20 21 22 23

Purpose

Audience

EventAlphaCode

Portfolio

Verification