Please complete the form below to apply for an exclusive interview and filming opportunity at our VIP Members Event, Take CenterStage

Take CenterStage Application

Title (Mr., Mrs., Dr., etc.)

First Name *

Last Name *

Email (Please ensure this is your professional/company email address) *

Job Title *

Company / Organization Name *

Country/Region *

Please select your chosen topic. (If more than one, please indicate in the further details form.)

Please give further details on your specialty topic and area of expertise. *

Are you happy to be filmed on the day and for the content to be edited by us and published on our online platforms, such as Streamly? *

Yes

Please Note: This experience will take place in person at our London office, 240 Blackfriars, on the 5th of July. You must be available on this date and able to make it to our office in person.