Topic and Speaker Suggestion Form

The Person Making the Suggestion :
Surname
Name
Gender
Academic Title
University
Faculty
Departmen
City
Country
Email Adress
Phone Number

The Person Making the Suggested :
Suggestion Type
Subject Area
Keywords Related to the Subject Area
Subject Title
Subject Suggestion	Maximum is 300 characters.
Surname
Name
Gender
University
Faculty
Department
City
Country
Email Address
Phone Number
Biography (MS Word - .docx) *
• Please send your files in ".doc", ".docx" format. • Please do not use any punctuation in the file name. • The file size shall be 4 MB maximum. • The file name must be 20 characters maximum and without space character. • Please contact webmaster@burkon.com on the uploading problems.