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Please provide your details for registration as a contact.

Prefix
First Name*
Last Name*
Email*
Password*
Confirm Password*
Company/Organisation/Affiliation
Phone
Job Title/Role
Address Line 1*
Address Line 2
City*
Country*
State/Province/Region
Postal Code/Zip Code
Gender I Identity With*
---IMPORTANT! Presenter Bio and Photo---
If you will be participating in a presentation, panel, workshop, etc., you must attach a hi-res photo and bio (up to 100 words) in order for your abstract to be accepted.
Presenter's Photo (hi-res)
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Acceptable file size : 10 MBAcceptable file types : .png, .jpeg, .jpg
Presenter's Bio (up to 100 words)(Up to 100 Words)
Your Twitter Handle
Your Instagram Handle
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