BMIM Speakers FormThank you for joining the BMIM programme as a speaker. Please make use of this form to send us your latest info, which we will use on our website and further communication.Name(Required)Email(Required)Phone number(Required)Organization(Required)Job Title(Required)Country(Required)This field is hidden when viewing the formBiography text English (max. 700 characters)(Required)Biography text English (max. 700 characters)(Required)This field is hidden when viewing the formBiography text Dutch (max 700 characters)For the Dutchies, please provide your Dutch bio here.Biography text Dutch (max 700 characters)For the Dutchies, please provide your Dutch bio here.Link to website or work(Required)Upload your photo here(Required)Max. file size: 16 MB.We’ll use this photo on our website and socialsSocial links (LinkedIn, Instagram)(Required)Other info you would like to share with us?(Required)Thank you for providing us with all the information!