Event Request Form

Your First Name *

Your Last Name *

Your Email Address *

Your Phone Number *

Department/Unit Organizing the Event *

Event Top Headline (if any) Due to design and web limits, the event top title should be 25 characters maximum.

Event Title (As used on Banner) * Due to design and web limits, the event title should be 75 characters maximum.

Event Date and Time *

Event Location * If the event is face-to-face, write the place you reserved, if it is online, write the "Zoom" or Youtube channel to be broadcast.

Speaker(s) * If any, together with the title and the name of the institution where he/she works

Banner Image If there is an image you want to be included in the poster, you can upload it here. It is important that the image has a high resolution and that there is no copyright problem. File attachment limit: 3

Event Language *

Event Requests

Other Requests

Expected Count for Catering

Gift Count