European Power Platform Conference
Speaker Information Form

Speaker Name(Required)

First Last

Beneficiary Account Name(Required)

Beneficiary Account Address (Street Address)(Required)

Beneficiary Account Address (Address Line 2)(Required)

Beneficiary Account Address (City)(Required)

Beneficiary Account Address (County / State)(Required)

Beneficiary Account Address (ZIP / Postal Code)(Required)

Beneficiary Account Address (Country)(Required)

Your BIC(Required)

Your IBAN(Required)

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