The May 50K : webform testing

SPEAKER REQUEST FORM

Thank you so much for your interest in participating in The May 50K 2022 with your workplace.

Please provide some more information below, so we can do our best to accommodate your speaker request.

ORGANISATION

Organisation Name *

KEY EVENT CONTACT

First Name *

Last Name *

Work Email *

Mobile Number *

EVENT DETAILS

Event Date (1st Preference) *

Event Date (2nd Preference)

Event Date (3rd Preference)

Event Location *

Virtual (Zoom, Teams, etc)
At my workplace

Speaker Type *

Event Topics *

What is MS?
What is The May 50K?
Information on MS research
My workplace's results from The May 50K 2021
Getting my workplace involved in The May 50K 2022
Ambassador sharing their personal experience of living with MS

Event Timings *

Other Requests

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