7.5.2021 Speaking Request Share on: Image ACER Speaker Request form Indicates required field Personal Information Your name or contact name Your company or organisation Email address Title/Position Type of organisation - Choose one role -Trade associationRegulatorPublic authoritySingle firmOther Telephone number Event details Event name Event format - Choose one option -OnlineIn personHybrid Audience (sector/level) - Choose one option -Energy IndustryBusiness leadersMinistersPublic Will media be present? - Choose one option -YesNo Date If in person, where (city, country)? Expected number of attendees If yes, which media? List of confirmed speakers Have you considered the diversity of the speakers? If yes, how? Agenda (provide the link or paste it below) ACER speaker Requested speaker (if known) Topic/title and length of expected ACER address Have you approached anyone else in ACER about this? Who? ACER participant's expected role - Choose one option -Key note speakerOpening remarksPanellistSpeaker/presenterClosing remarksModeratorRoundtableMeeting attendanceOther Is there a fee to attend this event? - Choose one option -YesNo If other, please specify If yes, please specify the amount Additional details Any additional details I agree with ACER data protection.