#PHISO2019 Roundtable Submission
Roundtable submission type: It includes a title, 250-word description, the convenor’s name with affiliation and email address who will act as the moderator, and minimum of 4 up to 8 participants with their names, affiliations and email addresses. The convenor/moderator may also be one of the participants. Please do not capitalize all letters of your answers.
Email address *
Convenor/moderator first and middle names *
Your answer
Convenor/moderator surname *
Your answer
Title of the roundtable *
Your answer
250-word roundtable description *
Your answer
1st participant's full name *
Your answer
1st participant's affiliation *
Your answer
1st participant's email address *
Your answer
2nd participant's full name *
Your answer
2nd participant's affiliation *
Your answer
2nd participant's email address *
Your answer
3rd participant's full name *
Your answer
3rd participant's affiliation *
Your answer
3rd participant's email address *
Your answer
4th participant's full name *
Your answer
4th participant's affiliation *
Your answer
4th participant's email address *
Your answer
5th participant's full name *
If none, write "Not Applicable."
Your answer
5th participant's affiliation *
If none, write "Not Applicable."
Your answer
5th participant's email address *
If none, write "Not Applicable."
Your answer
6th participant's full name *
If none, write "Not Applicable."
Your answer
6th participant's affiliation *
If none, write "Not Applicable."
Your answer
6th participant's email address *
If none, write "Not Applicable."
Your answer
7th participant's full name *
If none, write "Not Applicable."
Your answer
7th participant's affiliation *
If none, write "Not Applicable."
Your answer
7th participant's email address *
If none, write "Not Applicable."
Your answer
8th participant's full name *
If none, write "Not Applicable."
Your answer
8th participant's affiliation *
If none, write "Not Applicable."
Your answer
8th participant's email address *
If none, write "Not Applicable."
Your answer
A copy of your responses will be emailed to the address you provided.
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