your details conference/speech details · 2015-09-08 · conference/speech details title of...

Your details Your name or contact name

Title/PositionYour company or organisation

Telephone numberEmail address

Type of organisation

Conference/speech detailsTitle of conference

Date of conference/speechLocation (City, Country)

RequirementName of requested speaker

Speech subjectSpeech title/content

Length of speechProposed topics

If available, please email a draft agenda to press@esma.europa.eu

Audience (sector/level)Expected numbers of attendees

How and where will the event be marketed?

Has this event taken place before?If yes, please email the delegate list to press@esma.europa.eu

Have you approached anyone else in ESMA about this? If yes, please state who.

Is there a fee to attend this event? If yes, please specify.

Will media be present?

If yes, please give an indication of which publications are expected to be represented.

Any additional details

Return address press@esma.europa.eu

Contact David Cliffe, Senior Communications Officer+ 33 1 58 36 43 24

ESMA • CS 60747 – 103 rue de Grenelle • 75345 Paris Cedex 07 • France • Tel. +33 (0) 1 58 36 43 21 • www.esma.europa.eu

Speaker Request Form