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)
Your answer
Professional Title(s) (no more than 4 and most important first. We can't promise that we will have enough to list them all.
Your answer
Names (with degrees) and emails of any co-presentors
Your answer
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?
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