MID Time Presentation Request

Salutation *
– Bitte auswählen –Mx.Ms.Mr.

Academic title

First name *

Surname *

Company/ institute *

Company/ institute website*

E-mail address *

Online profile (e.g. website, LinkedIn)

Which date are you interested in? * (multiple selection possible)
August 7, 2024November 6, 2024

Title of the lecture *

Short description of the presentation * (approx. 5-10 sentences)

Image or Illustration

Image description

Image source

Your notes

I hereby agree to the data protection conditions. *

* = mandatory field