Presenter Application
Harvestival 2024 
電子郵件 *
Presentation / Workshop Name *
- To be used on all media releases
Contact First Name *
Contact Last Name *
Contact Postal Address *
Contact Mobile number *
Date of Birth *
MM
/
DD
/
YYYY
Emergency Contact Name *
Emergency Contact Mobile Number *
Facebook Profile *
- Please provide a professional or personal profile related to the presentation / workshop
Promotional Links  *
- List all that are relevant
Stage Requirements *
- Do you require additional resources, such as wireless mic or headset, PA system, lighting, props or other materials. List them all below
Members & Roles *
- Please list all members Full Names and their roles. If riding solo, then just list your own role.
Payment Requirements  *
- Please include all costs your requesting : Facilitator fee - travel fee - accommodation requirements
Availability *
必填
Anything else you would like to add? *
系統會透過電子郵件將你的作答內容複本傳送到你所提供的地址。
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