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Michigan Chapter Annual Meeting General Abstract Submission Form - deadline 5/3/24
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Presenting author email
 *
Presenting Author Last name
 *
Presenting Author First name
 *
Presenting author's main school or institution (to be listed in short program; full affiliations will be listed with abstracts). i.e. Sunnydale University: *
Please type Last name, First Initial Affiliation number(s) of all authors with commas between authors and an & before the last author. Please do not attempt to change size of the affiliation numbers, we will do that with publishing. Place an *before the presenting author's last name.  Example: *Smith, A1,2&5, Jones, J1-3, & Jenkins, GF,2 *
Affiliation 1: [Type the name of the affiliation labeled as 1 with author names above. i.e. Department of Neuroscience, Monsters University, Orlando, FL] *
Affiliation 2: [leave blank if only 1 affiliation]
Affiliation 3:
Affiliation 4:
Affiliation 5:
Affiliation 6:
Theme (SfN Criteria) *
Abstract title in all caps: i.e TITLE OF ABSTRACT *
Abstract (450 word maximum). *
Are you traveling over 200 miles to attend and interested in a $125.00 Travel stipend?   *
For all, if you would like to be considered for any remaining travel funds, please list the number of miles you would travel to attend the conference and if you are carpooling with anyone else,. Please note if you are the one driving or will be a passenger. i.e. 100 miles, carpooling with 2 others, I am the driver or i.e. 60 miles, not sure if carpooling, I am driving myself. *
I registered for the meeting : *
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