Name Badge Preferences

Please complete the form below by 17.00 on Wednesday, April 13th. If you do not wish to indicate your preferences, the default will be [Name as indicated at registration - no title] [Institutional affiliation if indicated at registration]

Name as you would like it to appear on your badge *

Email address

Would you like us to include your title?

Yes
No

If so, please specify

Would you like us to include your institutional affiliation?

Yes
No

If so, please specify

Would you like us to include your pronouns?

Yes
No

If so, please specify