Ten-Minute Takeaway Proposal Form 2018 International Convention
Application to Present Ten-Minute Takeaway
2018 International Convention
JW Marriott Hotel, Austin, Texas

A Ten-Minute Takeaway is an informal, informational session without AV that will be scheduled for presentation between breakout sessions and in an open area.

Takeaways and Breakouts will be Tuesday, July 17; Wednesday, July 18, and Thursday, July 19.

SUBMISSION DEADLINE: JANUARY 15, 2018
MAKE A COPY OF THIS COMPLETED FORM FOR YOUR FILES BEFORE SUBMITTING.

Email address *
Name of Presenter(s) *
Your answer
Preferred Phone Number *
Your answer
Geographic name of state organization and Chapter *
Your answer
Do you represent an international committee? Yes/No. If so, which one. *
Your answer
Title of Presentation *
Your answer
Brief description of Presentation (50 words max) *
Your answer
Recommend a strand most appropriate for the proposed takeaway *
Required
Recommended Audience Choose all that apply *
Required
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