Speaker Information Needed
Please supply additional information needed for the MWIA Meeting
Name as you would like it listed with degrees (i.e. Jane Doe, MD, MPH, FACP)
Professional Title(s) (no more than 4 and most important first. We can't promise that we will have enough to list them all.
Names (with degrees) and emails of any co-presentors
Do you give us permission to post a video recording of your talk on the AMWA/MWIA website?
Do you give us permission to post your slides after the presentation?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service