Customer Details First name: * Last name: * Phone number: * Your email: * Company name: * Web Cast Event Details Title of event: * Description: Date of event: * ---12345678910111213141516171819202122232425262728293031 ---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember ---201820192020 Event start time: * 123456789101112:000510152025303540455055 AMPM Time zone: * ---AEST (QLD, NSW, VIC, TAS, ACT) - ends 7 Oct 2018ACST (NT, SA) - ends 7 Oct 2018AWST (WA)AEDT (NSW, VIC, TAS, ACT) - 7 Oct 2018 to 7 Apr 2019AEST (QLD) - 7 Oct 2018 to 7 Apr 2019ACST (NT) - 7 Oct 2018 to 7 Apr 2019ACDT (SA) - 7 Oct 2018 to 7 Apr 2019NZST - ends 30 Sep 2018NZDT - 30 Sep 2018 to 7 Apr 2019 Event duration: * ---0123456789101112 Hours and ---00153045 Minutes This webcast will be presented...12 months on-demand viewing by default if selected. Please Select... Both Live & On-demand Live On-demand (Archived) How long would you like to offer on-demand viewing of this event? Select type of webcast event: Audio with Slides(4x3)Audio with Slides(16x9)Audio OnlyVideo(16x9) with Slides(4x3)Video(16x9) with Slides(16x9)Video(4x3) with Slides(4x3)Video(4x3) with Slides(16x9)Video(16x9) OnlyVideo(4x3) Only Is this event combined with our Managed Event Teleconference Service? Please Select... Yes No Speakers Details If there are more than 3 speakers, please enter their full names and titles in the Additional Information box at the end of the form. Full name: * Title: * Full name: Title: Full name: Title: Webcast Corporate Branding Your company website: * Upload company logo: (.png or .jpg) Webcast Features Include a webcast registration screen? Please Select... Yes No What info would you like to capture? Full NameEmailCompany Do you require client platform control? If 'Yes' is selected, you will have the back-end access ability to push slides, answer questions submitted via the webcast, switch speaker images and view advanced reporting. ---YesNo Select additional webcast features: Speaker(s) images & biosDownloads (slides, audio, video...)Ask questions via webcastSocial media sharingSurveyPollingQuizLive viewer Comment stream Speaker(s) images & biosDownloads (slides, audio, video...)Ask questions via webcastAsk questions via teleconferenceSocial media sharingSurveyPollingQuizLive viewer comment stream Additional Information: *I confirm that information above is accurate.