Presenter Application

Name*

First Last

Company Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Have you or your organisation booked a stand at Mind Body Soul Experience?*

Which area would you like to apply for?*

Preferred Day*

Preferred Time*

Preferred Demonstration/Performance length*

Preferred entrance charge (If 'free', please enter '0')*

Title of Demonstration*

Name of Presenter*

Demonstration Description*

In order to proceed with your application, we require a high resolution image to include alongside your description*

Max. file size: 20 MB.

Maximum file size is 20MB, if your file is larger than this, please email your file to hannah@primeimpact.co.uk

Any additional information you would like to add

I confirm that I am available to present the Demonstration detailed above*

Comments

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