Note: "*" denotes mandatory field

YOUR DETAILS

Company/Organisation*

Which webinar program*
BeneluxFranceGermanyNordicsUKIEMEA AllOther

Requester full name*

Requester email*

Requester phone*

WEBINAR WORKFLOW & INFO

Workflow:*
ITX1ITX2CSWESWCreatorOther

Webinar format (select multiple if more than one applies):*
PresentationPresentation & demoCustomer storyFireside chat or Panel discussionAsk The ExpertInternal OnlyOther

Video is the default webinar medium. Please let us know if you want audio-only instead.*
Yes, video is great!No, audio only please

Webinar title:*

Webinar abstract (if available):

Webinar language:*
EnglishFrenchGermanOther

WEBINAR DATE/TIME

Preferred webinar date:*

Preferred start time*

Timezone*

YOUR TEAM

Name of primary point of contact / organiser*

Email of primary point of contact / organiser*

Moderator full name*

Moderator email*

Speaker 1 full name*

Speaker 1 email*

Optional, if required: Speaker 2 full name

Optional, if required: Speaker 2 email

Optional, if required: Speaker 3 full name

Optional, if required: Speaker 3 email

ADDITIONAL INFORMATION

Any additional information we should be aware of?

 
Please check all information is correct and complete before submitting this webinar request.