SECTION 1: ENTITY INFORMATION

Organization / Institution Name:

Type of Entity

Website

Entity Type (Other)

Full Name

Country

Position/Title

Email

Phone Number

SECTION 2: INTEREST IN HOSTING

If yes, please specify

Proposed Session Title / Theme:

Key Objectives (2-3 points):

Suggested Date

Proposed Location / Venue (if applicable):

How does this session align with WGEO's focus areas?

Authorized Representative Name

Position