Speaker confirmation formA3P Aseptic processing – May 10th & 11th✻Intervention confirmationA3P Aseptic processing event in Milan on May 10th and 11th*I agree to be a speakerConference detailTitle of the conference in English:*Title of the conference in Italian:Could you summarise the content of your conference in a few lines? What key message(s) would you like to convey to the audience?Can you give us a question that the audience is likely to ask you at the end of your lecture?This can help the moderator to launch the Q&A.Conference languageI will speak in:*EnglishItalianLanguage of conference material - Please use English as the preferred language for the conference material (PowerPoint).*EnglishItalianGeneral ConditionsCommunication:*I authorize A3P to mention my name in the communication related to this event (website, social networks, press...).Image rights*In accordance with the provisions relating to image rights, I authorise A3P to use the photographs and videos taken during this event to illustrate A3P's communication actions, without any compensation and without any time limit.Conference support*I authorise A3P to make my conference materials available to members of the association (.pdf format)I do not authorise A3P to make my conference materials available to members of the association (.pdf format)Information SpeakerCivility:*Mr.Mrs.First name last name* First name Last name Company:*Function:*Adress :* Adress City Postal code AfghanistanAlbaniaAlgeriaAndorraAngolaAnguillaAntartideAntigua e BarbudaArabia SauditaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgioBelizeBeninBermudaBhutanBielorussiaBirmaniaBoliviaBonaire, Sint Eustatius e SabaBosnia-ErzegovinaBotswanaBrasileBrunei DarussalamBulgariaBurkina FasoBurundiCambogiaCamerunCanadaCapo VerdeChadCileCinaCiproColombiaComoreCongo, Repubblica Democratica delCongo, Repubblica delCorea del NordCorea del SudCosta RicaCosta d'AvorioCroaziaCubaCuraçaoDanimarcaDominicaEcuadorEgittoEl SalvadorEmirati Arabi UnitiEritreaEstoniaEswatini (Swaziland)EtiopiaFijiFilippineFinlandiaFranciaGabonGambiaGeorgiaGeorgia del SudGermaniaGhanaGiamaicaGiapponeGibilterraGibutiGiordaniaGreciaGrenadaGroenlandiaGuadalupaGuamGuatemalaGuernseyGuiana FranceseGuineaGuinea EquatorialeGuinea-BissauGuyanaHaitiHondurasHong KongIndiaIndonesiaIranIraqIrlandaIslandaIsola di BouvetIsola di ManIsola di NataleIsola di Saint BarthélemyIsola di Sant'ElenaIsole AlandIsole CaymanIsole CocosIsole CookIsole FalklandIsole FaroeIsole Heard e McDonaldIsole Marianne SettentrionaliIsole MarshallIsole NorfolkIsole Saint Pierre e MiquelonIsole SalomoneIsole Svalbard e Jan MayenIsole Turks e CaicosIsole Vergini britannicheIsole minori esterne degli Stati Uniti d'AmericaIsole vergini americaneIsraeleItaliaKazakistanKenyaKirghizistanKiribatiKuwaitLaosLesothoLettoniaLibanoLiberiaLibiaLiechtensteinLituaniaLussemburgoMacaoMacedoniaMadagascarMagliaMalawiMaldiveMalesiaMaliMaltaMaroccoMartinicaMauritaniaMauritiusMayotteMessicoMicronesiaMoldaviaMonacoMongoliaMontenegroMontserratMozambicoNamibiaNauruNepalNicaraguaNigerNigeriaNiueNorvegiaNuova CaledoniaNuova ZelandaOmanPaesi BassiPakistanPalauPanamaPapua Nuova GuineaParaguayPeruPitcairnPoloniaPolynesia FrancesePorto RicoPortogalloQatarRegno UnitoRepubblica CecaRepubblica CentrafricanaRepubblica DominicanaRiunione (Isola della)RomaniaRuandaRussiaSahara OccidentaleSaint Kitts e NevisSaint Vincent e GrenadineSaint-MartinSamoaSamoa americaneSan MarinoSanta LuciaSao Tome e PríncipeSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSiriaSlovacchiaSloveniaSomaliaSpagnaSri LankaStati UnitiStato della PalestinaSudafricaSudanSudan del SudSurinameSveziaSvizzeraTagikistanTaiwanTanzaniaTerritori Meridionali FrancesiTerritorio Britannico nell'Oceano IndianoThailandiaTimor EstTogoTokelauTongaTrinidad e TobagoTunisiaTurchiaTurkmenistanTuvaluUcrainaUgandaUngheriaUruguayUzbekistanVanuatuVaticano (Santa Sede)VenezuelaVietnamWallis e FutunaYemenZambiaZimbabwe Country E-mail :* Phone number:*Prefer a mobile phone numberPresentation of the speaker - Professional backgroundWrite us a few words about your professional background. This may help us in our communication and/or to introduce you to the participants.The A3P association supports:Speakers' dinner:*I will attend the speakers' dinner on May 09thI am not participating in the dinner speakerHotel booking:* I need a hotel room for the night of May 09th I need a hotel room for the night of May 10th No, I don't need a roomOpen field if you have a specific point to make:EmailQuesto campo serve per la convalida e dovrebbe essere lasciato inalterato.
