Expression of interest to present at the FitEx
Conference 2017 (25 / 26 November)

Please note this expression of interest needs to contain full information on the session you are offering to be considered for presentation at Fitex 2017.

ExerciseNZ will be selecting and confirming sessions based on the information provided with a rough room/session schedule to be completed at the time of confirmation of sessions, this will mean that all room requirements need to be stated correctly now to avoid being allocated a room which does not suit your needs.

Name (as per passport):
Also known as:
Your email address:
An automatic confirmation email will be sent to this email address. If you do not receive this within 30 mins, please email info@fitex.co.nz to check to see if your application was received.
Your landline phone number
(Including international and area codes):

Your mobile phone number
(Including international and area codes):

If you are presenting for another organisation (this means they are sponsoring you and covering all transport and accommodation costs) please give details:

Have you presented at the FitEx conference before?
If no, then please answer the remaining three questions in this section. Otherwise, please skip to the next section.
Industry Experience and background:
Previous experience presenting at similar events: (please detail sessions and conferences)
References who can confirm your suitability as a presenter:

I wish to present a pre-conference event in addition to weekend sessions: (full information on the pre-conference event will be supplied in the next stage of the application)

REMINDER: All session slots are 1 hour, please refer to www.fitex.co.nz/presenter for information on split level or longer sessions.

How many sessions do you have available for presentation?
If you submit more than one session, how many of the submitted sessions would you be happy to present?


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