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Individual Presentation Proposal Submission Form
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First Name *
Last Name *
Title - Position *
Institution *
Website
Short bio (100-150 word max.)
E-mail *
Daytime Phone Number with Area Code *
Address
Country / State *
ZIP Postal Code
Indicate which conference theme you wish to address *
Required
Presentation Title *
Presentation Description* (150-200 words max.) *
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