"*" indicates required fields This field is hidden when viewing the formSubmissionDateParticipation formatSelect option(s)* Speaker Panelist Moderator You represent* Commercial organisation Academic organisation Micro Business Forum Sponsor or Partner Other Presentation Type* Commercial presentation Non-commercial presentation Not applicable ATTACH VALID UNIVERSITY OR COLLEGE ID*Accepted file types: jpg, gif, png, pdf, Max. file size: 20 MB.* Academic rates apply to the full-time employees and post-graduate students from the Universities, Academia or Colleges. Sponsor or Partner Name*Your comments*Commercial organisation Price: Includes 1 admission to the ForumAcademic organisation/Commercial presentation Price: Includes 1 admission to the ForumMicro Business/Commercial presentation Price: Includes 1 admission to the ForumCommercial organisation/Non-commercial presentation Price: Includes 1 admission to the ForumAcademic organisation/Non-commercial presentation Price: Includes 1 admission to the ForumMicro Business/Non-commercial presentation Price: Includes 1 admission to the ForumAdditional OptionsOptions Gala Dinner (29 October) Site visits (30 October) Gala Dinner Price: Site Visits Price: Speaker’s profileName* First Last Job title*Company*Email* PhoneCountry code + phone numberSpeaker’s biographyUp 1500 characters Speaker’s recent photo*Accepted file types: pdf, jpg, jpeg, png, Max. file size: 32 MB.Please attach or email eu@minexforum.com speaker’s recent colour photo in high resolution (minimum size 150 kb and max file size 5 MB). Presentation summaryPresentation title*Short synopsis ~150 wordsCompany ProfileInformation about the company to be published in the conference mediaCompany nameBrief information about the exhibitor company (up to 150 words)Company `s logo (300x300px)Accepted file types: jpg, gif, png, pdf, Max. file size: 32 MB.Send the company logo to info@smartindustry.live or attach it to this form using the "Choose File" button above.Materials in PDF (include hyperlink to zip file)Link to video presentation (include hyperlink to zip file)Link to video presentation (include hyperlink to zip file)Link to the corporate websiteLink to FacebookLink to LinkedInLink to SkypeInstagramLink to YoutubeSocial NetworksLinkedInFacebookTwitterYoutubeAlternative Contact (Assistant)NameEmail PhoneTime required*10 minutes15 minutesMoreModerator or PanellistTerms & Conditions* I have read and agree with "Privacy Policy" and "Terms & Conditions". Newsletter I agree to subscribe to newsletters and event invitations from MINEX Forum Your Comments, e.g. dietary restrictionsOptionalThis field is hidden when viewing the formPostIDPayment InformationSelect Payment Method* Stripe Bank Transfer TotalTotal EmailThis field is for validation purposes and should be left unchanged.