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Submitted URL: http://auto-test-novi.com/_act/link.php?mId=AT916479490185617534442297zzzzz6442ae30255d8b0c68f71041a07eefc4de869247c9bb2dc...
Effective URL: https://www.testing-expo.com/usa/en/speaker-reg-form.php?utm_campaign=24.06.2024%20-%20Call%20for%20speakers&utm_source=email...
Submission: On July 02 via api from US — Scanned from DE
Effective URL: https://www.testing-expo.com/usa/en/speaker-reg-form.php?utm_campaign=24.06.2024%20-%20Call%20for%20speakers&utm_source=email...
Submission: On July 02 via api from US — Scanned from DE
Form analysis
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<option value="TAJIKISTAN" data-prefix="992">Tajikistan</option>
<option value="THAILAND" data-prefix="66">Thailand</option>
<option value="TIMOR-LESTE" data-prefix="670">Timor-Leste</option>
<option value="TOGO" data-prefix="228">Togo</option>
<option value="TOKELAU" data-prefix="690">Tokelau</option>
<option value="TONGA" data-prefix="676">Tonga</option>
<option value="TRINIDAD & TOBAGO" data-prefix="1 868">Trinidad and Tobago</option>
<option value="TUNISIA" data-prefix="216">Tunisia</option>
<option value="TURKEY" data-prefix="90">Türkiye</option>
<option value="TURKMENISTAN" data-prefix="993">Turkmenistan</option>
<option value="TURKS & CAICOS ISLANDS" data-prefix="1 649">Turks and Caicos Islands</option>
<option value="TUVALU" data-prefix="688">Tuvalu</option>
<option value="UGANDA" data-prefix="256">Uganda</option>
<option value="UK" data-prefix="44">UK</option>
<option value="UKRAINE" data-prefix="380">Ukraine</option>
<option value="UNITED ARAB EMIRATES" data-prefix="971">United Arab Emirates</option>
<option value="TANZANIA" data-prefix="255">United Republic of Tanzania</option>
<option value="URUGUAY" data-prefix="598">Uruguay</option>
<option value="USA" data-prefix="1">USA</option>
<option value="UZBEKISTAN" data-prefix="998">Uzbekistan</option>
<option value="VANUATU" data-prefix="678">Vanuatu</option>
<option value="VATICAN CITY STATE" data-prefix="379">Vatican City State</option>
<option value="VENEZUELA" data-prefix="58">Venezuela</option>
<option value="VIETNAM" data-prefix="84">Viet Nam</option>
<option value="VIRGIN ISLANDS (USA)" data-prefix="1 340">Virgin Islands (USA)</option>
<option value="WAKE ISLAND" data-prefix="808">Wake Island</option>
<option value="WALLIS & FUTUNA" data-prefix="681">Wallis and Futuna</option>
<option value="WEST SAHARA" data-prefix="212">West Sahara</option>
<option value="WESTERN SAMOA" data-prefix="685">Western Samoa</option>
<option value="YEMEN" data-prefix="967">Yemen</option>
<option value="ZAMBIA" data-prefix="260">Zambia</option>
<option value="ZIMBABWE" data-prefix="263">Zimbabwe</option>
</select>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3 col-xs-push-1">Telephone <span class="text-danger">*</span></label>
<div class="col-xs-6 col-xs-push-1">
<div class="input-group">
<div class="input-group-prepend">
<div name="prefix" class="input-group-text prefix">+</div>
</div>
<input type="hidden" name="telephone">
<input class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly="" onfocus="this.removeAttribute('readonly');" name="telephone_2" type="text" maxlength="255" required="">
</div>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3 col-xs-push-1">Mobile <span class="text-danger">*</span></label>
<div class="col-xs-6 col-xs-push-1">
<div class="input-group">
<div class="input-group-prepend">
<div name="prefix" class="input-group-text prefix">+</div>
</div>
<input type="hidden" name="mobile">
<input class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly="" onfocus="this.removeAttribute('readonly');" name="mobile_2" type="text" maxlength="255" required="">
</div>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3 col-xs-push-1">Email Address <span class="text-danger">*</span></label>
<div class="col-xs-6 col-xs-push-1">
<input class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly="" onfocus="this.removeAttribute('readonly');" name="email" type="email" maxlength="255" required="">
</div>
</div>
</fieldset>
</div>
</div>
</div>
</div>
<br><br>
<div class="row">
<div class="col-lg-12">
<div class="card aos-init" data-aos="fade-up" data-aos-delay="100">
<div class="card-body">
<h5 class="card-title text-uppercase text-center">Proposal Details</h5>
<hr>
<fieldset>
<div class="form-group">
<!-- <label class="control-label col-xs-3 col-xs-push-1">I would like to speak at <span class="text-danger">*</span></label>
<div class="col-xs-6 col-xs-push-1">
<select class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly onfocus="this.removeAttribute('readonly');" onchange="selectConf(this)" name="eventSelect" required>
<option value="" disabled selected>Please select a speaking opportunity</option>
<option value="731"></option>
<option value="729"></option>
</select>
<br>
</div> -->
<div class="form-group">
<label class="control-label col-xs-3 col-xs-push-1">Presentation Title <span class="text-danger">*</span></label>
<div class="col-xs-6 col-xs-push-1">
<textarea class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly="" onfocus="this.removeAttribute('readonly');" id="presentation_title" rows="2" name="presentation_title"
required=""></textarea>
<span class="help-block"><span id="count-title" class="safe">10</span> words remaining</span>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3 col-xs-push-1">Presentation Synopsis <span class="text-danger">*</span></label>
<div class="col-xs-6 col-xs-push-1">
<textarea class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly="" onfocus="this.removeAttribute('readonly');" id="presentation_synopsis" rows="10" name="presentation_description"
required=""></textarea>
<span class="help-block"><span id="count-synopsis" class="safe">100</span> words remaining</span>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3 col-xs-push-1">Speaker Biography <span class="text-danger">*</span></label>
<div class="col-xs-6 col-xs-push-1">
<textarea class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly="" onfocus="this.removeAttribute('readonly');" id="speaker_bio" rows="10" name="speaker_bio" required=""></textarea>
<span class="help-block"><span id="count-bio" class="safe">100</span> words remaining</span>
</div>
</div>
</div>
</fieldset>
</div>
</div>
</div>
</div>
<br><br>
<div class="row">
<div class="col-lg-12">
<div class="card aos-init" data-aos="fade-up" data-aos-delay="100">
<div class="card-body">
<h5 class="card-title text-uppercase text-center">What The Audience Will Learn</h5>
<hr>
<fieldset>
<div class="form-group">
<label class="control-label col-xs-3 col-xs-push-1">Bullet Point 1: <span class="text-danger">*</span></label>
<div class="col-xs-6 col-xs-push-1">
<textarea class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly="" onfocus="this.removeAttribute('readonly');" id="learn_bullet_1" rows="1" name="learn_bullet_1" required=""></textarea>
<span class="help-block"><span id="bulletcount1" class="safe">20</span> words remaining</span>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3 col-xs-push-1">Bullet Point 2: <span class="text-danger">*</span></label>
<div class="col-xs-6 col-xs-push-1">
<textarea class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly="" onfocus="this.removeAttribute('readonly');" id="learn_bullet_2" rows="1" name="learn_bullet_2" required=""></textarea>
<span class="help-block"><span id="bulletcount2" class="safe">20</span> words remaining</span>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3 col-xs-push-1">Bullet Point 3: <span class="text-danger">*</span></label>
<div class="col-xs-6 col-xs-push-1">
<textarea class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly="" onfocus="this.removeAttribute('readonly');" id="learn_bullet_3" rows="1" name="learn_bullet_3" required=""></textarea>
<span class="help-block"><span id="bulletcount3" class="safe">20</span> words remaining</span>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3 col-xs-push-1">Bullet Point 4:</label>
<div class="col-xs-6 col-xs-push-1">
<textarea class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly="" onfocus="this.removeAttribute('readonly');" id="learn_bullet_4" rows="1" name="learn_bullet_4"></textarea>
<span class="help-block"><span id="bulletcount4" class="safe">20</span> words remaining</span>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3 col-xs-push-1">Bullet Point 5:</label>
<div class="col-xs-6 col-xs-push-1">
<textarea class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly="" onfocus="this.removeAttribute('readonly');" id="learn_bullet_5" rows="1" name="learn_bullet_5"></textarea>
<span class="help-block"><span id="bulletcount5" class="safe">20</span> words remaining</span>
</div>
</div>
</fieldset>
</div>
</div>
</div>
</div>
<br><br>
<div class="row">
<div class="col-lg-12">
<div class="card aos-init" data-aos="fade-up" data-aos-delay="100">
<div class="card-body">
<h5 class="card-title text-uppercase text-center">Additional Contact Details</h5>
<p class="text-center text-danger"><strong>Only complete this section if you are adding another contact for the speaker (e.g. a secretary, PA, assistant, etc.)</strong></p>
<hr>
<fieldset>
<div class="form-group">
<label class="control-label col-xs-3 col-xs-push-1">First Name</label>
<div class="col-xs-6 col-xs-push-1">
<input class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly="" onfocus="this.removeAttribute('readonly');" name="contact_first_name" type="text" maxlength="255">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3 col-xs-push-1">Family Name</label>
<div class="col-xs-6 col-xs-push-1">
<input class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly="" onfocus="this.removeAttribute('readonly');" name="contact_family_name" type="text" maxlength="255">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3 col-xs-push-1">Country</label>
<div class="col-xs-6 col-xs-push-1">
<select class="form-control input-sm" autocorrect="off" spellcheck="false" autocomplete="off" readonly="" onfocus="this.removeAttribute('readonly');" name="contact_country">
<option value="" disabled="" selected=""></option>
<option value="AFGHANISTAN" data-prefix="93">Afghanistan</option>
<option value="ÅLAND ISLANDS" data-prefix="358">Åland Islands</option>
<option value="ALBANIA" data-prefix="355">Albania</option>
<option value="ALGERIA" data-prefix="213">Algeria</option>
<option value="AMERICAN SAMOA" data-prefix="684">American Samoa</option>
<option value="ANDORRA" data-prefix="376">Andorra</option>
<option value="ANGOLA" data-prefix="244">Angola</option>
<option value="ANGUILLA" data-prefix="1 264">Anguilla</option>
<option value="ANTARCTICA" data-prefix="672">Antarctica</option>
<option value="ANTIGUA AND BARBUDA" data-prefix="1 268">Antigua and Barbuda</option>
<option value="ARGENTINA" data-prefix="54">Argentina</option>
<option value="ARMENIA" data-prefix="374">Armenia</option>
<option value="ARUBA" data-prefix="297">Aruba</option>
<option value="ASCENSION ISLAND" data-prefix="247">Ascension Island</option>
<option value="AUSTRALIA" data-prefix="61">Australia</option>
<option value="AUSTRIA" data-prefix="43">Austria</option>
<option value="AZERBAIJAN" data-prefix="994">Azerbaijan</option>
<option value="BAHAMAS" data-prefix="1 242">Bahamas</option>
<option value="BAHRAIN" data-prefix="973">Bahrain</option>
<option value="BANGLADESH" data-prefix="880">Bangladesh</option>
<option value="BARBADOS" data-prefix="1 246">Barbados</option>
<option value="BELGIUM" data-prefix="32">Belgium</option>
<option value="BELIZE" data-prefix="501">Belize</option>
<option value="BENIN" data-prefix="229">Benin</option>
<option value="BERMUDA" data-prefix="1 241">Bermuda</option>
<option value="BHUTAN" data-prefix="975">Bhutan</option>
<option value="BOLIVIA" data-prefix="591">Bolivia</option>
<option value="BONAIRE, SINT EUSTATIUS AND SABA" data-prefix="599">Bonaire</option>
<option value="BOSNIA-HERZEGOVINA" data-prefix="387">Bosnia and Herzegovina</option>
<option value="BOTSWANA" data-prefix="267">Botswana</option>
<option value="BOUVET ISLAND" data-prefix="47">Bouvet Island</option>
<option value="BRAZIL" data-prefix="55">Brazil</option>
<option value="BRITISH INDIAN OCEAN TERRITORIES" data-prefix="246">British Indian Ocean Territories</option>
<option value="BRITISH VIRGIN ISLANDS" data-prefix="1 284">British Virgin Islands</option>
<option value="BRUNEI" data-prefix="673">Brunei Darussalam</option>
<option value="BULGARIA" data-prefix="359">Bulgaria</option>
<option value="BURKINA FASO" data-prefix="226">Burkina Faso</option>
<option value="BURUNDI" data-prefix="257">Burundi</option>
<option value="CAPE VERDE ISLANDS" data-prefix="238">Cabo Verde</option>
<option value="CAMBODIA" data-prefix="855">Cambodia</option>
<option value="CAMEROON" data-prefix="237">Cameroon</option>
<option value="CANADA" data-prefix="1">Canada</option>
<option value="CAYMAN ISLANDS" data-prefix="1 345">Cayman Islands</option>
<option value="CENTRAL AFRICAN REPUBLIC" data-prefix="236">Central African Republic</option>
<option value="CHAD" data-prefix="235">Chad</option>
<option value="CHILE" data-prefix="56">Chile</option>
<option value="CHINA" data-prefix="86">China</option>
<option value="CHRISTMAS ISLAND" data-prefix="672">Christmas Island (Indian Ocean)</option>
<option value="COCOS (KEELING) ISLANDS" data-prefix="891">Cocos (Keeling Islands)</option>
<option value="COLOMBIA" data-prefix="57">Colombia</option>
<option value="COMOROS" data-prefix="269">Comoros</option>
<option value="CONGO" data-prefix="242">Congo</option>
<option value="COOK ISLANDS" data-prefix="682">Cook Islands</option>
<option value="COSTA RICA" data-prefix="506">Costa Rica</option>
<option value="CROATIA" data-prefix="385">Croatia</option>
<option value="CUBA" data-prefix="53">Cuba</option>
<option value="CURAÇAO" data-prefix="599">Curacao</option>
<option value="SINT MAARTEN" data-prefix="1">Curaçao and Sint Maarten</option>
<option value="CYPRUS" data-prefix="357">Cyprus</option>
<option value="CZECH REPUBLIC" data-prefix="420">Czech Republic</option>
<option value="KOREA (DPR)" data-prefix="850">Democratic People's Republic of Korea</option>
<option value="CONGO DR" data-prefix="243">Democratic Republic of the Congo</option>
<option value="DENMARK" data-prefix="45">Denmark</option>
<option value="DJIBOUTI" data-prefix="253">Djibouti</option>
<option value="DOMINICA" data-prefix="1 767">Dominica</option>
<option value="DOMINICAN REPUBLIC" data-prefix="1 809">Dominican Republic</option>
<option value="ECUADOR" data-prefix="593">Ecuador</option>
<option value="EGYPT" data-prefix="20">Egypt</option>
<option value="EL SALVADOR" data-prefix="503">El Salvador</option>
<option value="EQUATORIAL GUINEA" data-prefix="240">Equatorial Guinea</option>
<option value="ERITREA" data-prefix="291">Eritrea</option>
<option value="ESTONIA" data-prefix="372">Estonia</option>
<option value="SWAZILAND" data-prefix="268">Eswatini</option>
<option value="ETHIOPIA" data-prefix="251">Ethiopia</option>
<option value="FALKLAND ISLANDS" data-prefix="500">Falkland Islands</option>
<option value="FAROE ISLANDS" data-prefix="298">Faroe Islands</option>
<option value="FIJI" data-prefix="679">Fiji</option>
<option value="FINLAND" data-prefix="358">Finland</option>
<option value="FRANCE" data-prefix="33">France</option>
<option value="FRENCH GUIANA" data-prefix="594">French Guiana</option>
<option value="FRENCH POLYNESIA" data-prefix="689">French Polynesia</option>
<option value="FRENCH SOUTHERN TERRITORIES" data-prefix="33">French West Indies</option>
<option value="GABON" data-prefix="241">Gabon</option>
<option value="GAMBIA" data-prefix="220">Gambia</option>
<option value="GEORGIA" data-prefix="995">Georgia</option>
<option value="GERMANY" data-prefix="49">Germany</option>
<option value="GHANA" data-prefix="233">Ghana</option>
<option value="GIBRALTAR" data-prefix="350">Gibraltar</option>
<option value="GREECE" data-prefix="30">Greece</option>
<option value="GREENLAND" data-prefix="299">Greenland</option>
<option value="GRENADA" data-prefix="1 473">Grenada</option>
<option value="GUADELOUPE" data-prefix="590">Guadeloupe</option>
<option value="GUAM" data-prefix="671">Guam</option>
<option value="GUATEMALA" data-prefix="502">Guatemala</option>
<option value="GUERNSEY" data-prefix="44">Guernsey</option>
<option value="GUINEA" data-prefix="224">Guinea</option>
<option value="GUINEA-BISSAU" data-prefix="245">Guinea-Bissau</option>
<option value="GUYANA" data-prefix="592">Guyana</option>
<option value="HAITI" data-prefix="509">Haiti</option>
<option value="HEARD ISLAND AND MCDONALD ISLANDS" data-prefix="672">Heard Island and McDonald</option>
<option value="HONDURAS" data-prefix="504">Honduras</option>
<option value="HONG KONG" data-prefix="852">Hong Kong, China</option>
<option value="HUNGARY" data-prefix="36">Hungary</option>
<option value="ICELAND" data-prefix="354">Iceland</option>
<option value="INDIA" data-prefix="91">India</option>
<option value="INDONESIA" data-prefix="62">Indonesia</option>
<option value="IRAN" data-prefix="98">Iran</option>
<option value="IRAQ" data-prefix="964">Iraq</option>
<option value="IRELAND" data-prefix="353">Ireland</option>
<option value="ISLE OF MAN" data-prefix="44">Isle of Man</option>
<option value="ISRAEL" data-prefix="972">Israel</option>
<option value="ITALY" data-prefix="39">Italy</option>
<option value="IVORY COAST" data-prefix="225">Ivory Coast</option>
<option value="JAMAICA" data-prefix="1 876">Jamaica</option>
<option value="JAPAN" data-prefix="81">Japan</option>
<option value="JERSEY" data-prefix="44">Jersey</option>
<option value="JORDAN" data-prefix="962">Jordan</option>
<option value="KAZAKHSTAN" data-prefix="7">Kazakhstan</option>
<option value="KENYA" data-prefix="254">Kenya</option>
<option value="KIRIBATI" data-prefix="686">Kiribati</option>
<option value="KOSOVO" data-prefix="381">Kosovo</option>
<option value="KUWAIT" data-prefix="965">Kuwait</option>
<option value="KYRGYZSTAN" data-prefix="996">Kyrgyzstan</option>
<option value="LAOS" data-prefix="856">Lao People’s Democratic Republic</option>
<option value="LATVIA" data-prefix="371">Latvia</option>
<option value="LEBANON" data-prefix="961">Lebanon</option>
<option value="LESOTHO" data-prefix="266">Lesotho</option>
<option value="LIBERIA" data-prefix="231">Liberia</option>
<option value="LIBYA" data-prefix="218">Libya</option>
<option value="LIECHTENSTEIN" data-prefix="423">Liechtenstein</option>
<option value="LITHUANIA" data-prefix="370">Lithuania</option>
<option value="LUXEMBOURG" data-prefix="352">Luxembourg</option>
<option value="MACAU" data-prefix="853">Macao, China</option>
<option value="MADAGASCAR" data-prefix="261">Madagascar</option>
<option value="MALAWI" data-prefix="265">Malawi</option>
<option value="MALAYSIA" data-prefix="60">Malaysia</option>
<option value="MALDIVES" data-prefix="960">Maldives</option>
<option value="MALI" data-prefix="223">Mali</option>
<option value="MALTA" data-prefix="356">Malta</option>
<option value="MARIANA ISLANDS" data-prefix="670">Mariana Islands</option>
<option value="MARSHALL ISLANDS" data-prefix="692">Marshall Islands</option>
<option value="MARTINIQUE" data-prefix="596">Martinique</option>
<option value="MAURITANIA" data-prefix="222">Mauritania</option>
<option value="MAURITIUS" data-prefix="230">Mauritius</option>
<option value="MAYOTTE" data-prefix="269">Mayotte</option>
<option value="MEXICO" data-prefix="52">Mexico</option>
<option value="MICRONESIA, FEDERATED STATES OF" data-prefix="691">Micronesia</option>
<option value="MOLDOVA" data-prefix="373">Moldova</option>
<option value="MONACO" data-prefix="377">Monaco</option>
<option value="MONGOLIA" data-prefix="976">Mongolia</option>
<option value="MONTENEGRO" data-prefix="382">Montenegro</option>
<option value="MONTSERRAT" data-prefix="1 664">Montserrat</option>
<option value="MOROCCO" data-prefix="212">Morocco</option>
<option value="MOZAMBIQUE" data-prefix="258">Mozambique</option>
<option value="MYANMAR" data-prefix="95">Myanmar</option>
<option value="N Z ISLAND TERRITORIES" data-prefix="64">N Z Island Territories</option>
<option value="NAMIBIA" data-prefix="264">Namibia</option>
<option value="NAURU" data-prefix="674">Nauru</option>
<option value="NEPAL" data-prefix="977">Nepal</option>
<option value="NETHERLANDS" data-prefix="31">Netherlands</option>
<option value="NEW CALEDONIA" data-prefix="687">New Caledonia</option>
<option value="NEW ZEALAND" data-prefix="64">New Zealand</option>
<option value="NICARAGUA" data-prefix="505">Nicaragua</option>
<option value="NIGER REPUBLIC" data-prefix="227">Niger</option>
<option value="NIGERIA" data-prefix="234">Nigeria</option>
<option value="NIUE" data-prefix="683">Niue</option>
<option value="NORFOLK ISLAND" data-prefix="672">Norfolk Island</option>
<option value="NORTH MACEDONIA" data-prefix="389">North Macedonia</option>
<option value="NORTHERN MARIANA ISLANDS" data-prefix="1">Northern Mariana Islands</option>
<option value="NORWAY" data-prefix="47">Norway</option>
<option value="OMAN" data-prefix="968">Oman</option>
<option value="PAKISTAN" data-prefix="92">Pakistan</option>
<option value="PALAU" data-prefix="680">Palau</option>
<option value="PALESTINE" data-prefix="970">Palestine</option>
<option value="PANAMA" data-prefix="507">Panama</option>
<option value="PAPUA NEW GUINEA" data-prefix="675">Papua New Guinea</option>
<option value="PARAGUAY" data-prefix="595">Paraguay</option>
<option value="PERU" data-prefix="51">Peru</option>
<option value="PHILIPPINES" data-prefix="63">Philippines</option>
<option value="PITCAIRN" data-prefix="672">Pitcairn Island</option>
<option value="POLAND" data-prefix="48">Poland</option>
<option value="PORTUGAL" data-prefix="351">Portugal</option>
<option value="PUERTO RICO" data-prefix="1 787">Puerto Rico</option>
<option value="QATAR" data-prefix="974">Qatar</option>
<option value="KOREA" data-prefix="82">Republic of Korea</option>
<option value="REUNION ISLANDS" data-prefix="262">Reunion Islands</option>
<option value="ROMANIA" data-prefix="40">Romania</option>
<option value="RUSSIA" data-prefix="7">Russia</option>
<option value="RWANDA" data-prefix="250">Rwanda</option>
<option value="SAINT BARTHÉLEMY" data-prefix="590">Saint Barthélemy</option>
<option value="SAINT HELENA" data-prefix="290">Saint Helena</option>
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* Home * Show Layout * Exhibitors Exhibitor List Book a Booth * Visit Show Layout Press & Marketing Gallery Industry News Show Review - 2023 Venue Address Travel & Hotels Visa Information Contact Spanning the Globe * Conference Future of Automotive Testing Conference Speaker Registration * Save the dates * Register for your free entry pass OCTOBER 22, 23 & 24, 2024 SUBURBAN COLLECTION SHOWPLACE, NOVI, MICHIGAN SPEAKER REGISTRATION Interested in speaking at the event? IF YOU WOULD LIKE TO MAKE A PRESENTATION PLEASE COMPLETE THIS FORM MANUALLY. USING AN AUTOFILL SERVICE MAY RESULT IN ERRORS AND FAILURE TO SUBMIT. Speaker Details (* Required fields) Salutation * Mr. Ms. Mrs. Miss Sir Capt. Dipl.-Ing. Dr. Hon. Prof. First Name * Family Name * Job Title * Company Name * CONTACT DETAILS -------------------------------------------------------------------------------- Address * Dept. / Mailcode City * State / County ZIP / Postal Code * Country * AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBonaireBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoriesBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas Island (Indian Ocean)Cocos (Keeling Islands)ColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCuraçao and Sint MaartenCyprusCzech RepublicDemocratic People's Republic of KoreaDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench West IndiesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonaldHondurasHong Kong, ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao, ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMariana IslandsMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarN Z Island TerritoriesNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalPuerto RicoQatarRepublic of KoreaReunion IslandsRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandSouth SudanSpainSpitzbergenSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUKUkraineUnited Arab EmiratesUnited Republic of TanzaniaUruguayUSAUzbekistanVanuatuVatican City StateVenezuelaViet NamVirgin Islands (USA)Wake IslandWallis and FutunaWest SaharaWestern SamoaYemenZambiaZimbabwe Telephone * + Mobile * + Email Address * PROPOSAL DETAILS -------------------------------------------------------------------------------- Presentation Title * 10 words remaining Presentation Synopsis * 100 words remaining Speaker Biography * 100 words remaining WHAT THE AUDIENCE WILL LEARN -------------------------------------------------------------------------------- Bullet Point 1: * 20 words remaining Bullet Point 2: * 20 words remaining Bullet Point 3: * 20 words remaining Bullet Point 4: 20 words remaining Bullet Point 5: 20 words remaining ADDITIONAL CONTACT DETAILS Only complete this section if you are adding another contact for the speaker (e.g. a secretary, PA, assistant, etc.) -------------------------------------------------------------------------------- First Name Family Name Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBonaireBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoriesBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas Island (Indian Ocean)Cocos (Keeling Islands)ColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCuraçao and Sint MaartenCyprusCzech RepublicDemocratic People's Republic of KoreaDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench West IndiesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonaldHondurasHong Kong, ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao, ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMariana IslandsMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarN Z Island TerritoriesNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalPuerto RicoQatarRepublic of KoreaReunion IslandsRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandSouth SudanSpainSpitzbergenSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUKUkraineUnited Arab EmiratesUnited Republic of TanzaniaUruguayUSAUzbekistanVanuatuVatican City StateVenezuelaViet NamVirgin Islands (USA)Wake IslandWallis and FutunaWest SaharaWestern SamoaYemenZambiaZimbabwe Telephone + Email Address DECLARATION -------------------------------------------------------------------------------- I understand that the information I have provided, including my professional bio, company logo and portrait image, will be considered for inclusion in the conference schedule and used for publishing on the website, and in the conference program and conference proceedings should this proposal be accepted for the conference. I agree to the above statements PRIVACY POLICY -------------------------------------------------------------------------------- To find out more about how we collect and may use your personal data, please see our Privacy Policy. I have read and understand the privacy policy* SUBMIT -------------------------------------------------------------------------------- Submit Registration By completing and submitting this form, you understand and agree that the publisher and event organizer UKi Media & Events, a division of UKIP Media & Events Ltd, may use your personal data in accordance with our privacy policy which may be viewed on our website www.ukimediaevents.com. Please note: the 'Submit' button will appear when the 'Declaration' choice above has been completed. #AutoTestNovi CONTACT US Becoming an exhibitor Dominic Cundy +44 1306 743744 dominic.cundy@ukimediaevents.com Exhibitor setup / technical queries Lynn Wedderman, CMP +44 1306 743744 atxna@ukimediaevents.com Registration / badge queries Clinton Cushion +44 1306 743744 registration@ukimediaevents.com Help with your travel visa Visa team visa@ukimediaevents.com MAGAZINE SUBSCRIPTION Click here to subscribe © 2024 UKi Media & Events, a division of UKIP Media & Events Ltd | Click here for more information on UKi Media & Events Terms and Conditions of Business and Website Use | Privacy Policy | Virtual Online Conferences Policies | Cookie Policy | Notice and Takedown Policy | Payment FAQs | Contact Details * Home * Show Layout * Exhibitors Exhibitor List Book a Booth * Visit Show Layout Press & Marketing Gallery Industry News Show Review - 2023 Venue Address Travel & Hotels Visa Information Contact Spanning the Globe * Conference Future of Automotive Testing Conference Speaker Registration * Save the dates * Register for your free entry pass Can't find what you are looking for? 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