Your details Your name or contact name
Title/PositionYour company or organisation
Telephone numberEmail address
Type of organisation
Conference/speech detailsTitle of conference
Date of conference/speechLocation (City, Country)
RequirementName of requested speaker
Speech subjectSpeech title/content
Length of speechProposed topics
If available, please email a draft agenda to [email protected]
Audience (sector/level)Expected numbers of attendees
How and where will the event be marketed?
Has this event taken place before?If yes, please email the delegate list to [email protected]
Have you approached anyone else in ESMA about this? If yes, please state who.
Is there a fee to attend this event? If yes, please specify.
Will media be present?
If yes, please give an indication of which publications are expected to be represented.
Any additional details
Return address [email protected]
Contact David Cliffe, Senior Communications Officer+ 33 1 58 36 43 24
ESMA • CS 60747 – 103 rue de Grenelle • 75345 Paris Cedex 07 • France • Tel. +33 (0) 1 58 36 43 21 • www.esma.europa.eu
Speaker Request Form
