University of Michigan / Brazil Symposium - Abstract Submisison Form 2017
If you are planning to attend the University of Michigan - Brazil Research Symposium, March 27-28 please provide your information below.  Do NOT use all caps.    

Individuals who are planning to present a research poster, please have your poster abstract, title, authors and other details ready.  

If you have trouble with this form, please email the UM Dentistry Research office at:
 dent-research@umich.edu.  
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Email *
Name *
First, Last, DMD, etc..
Academic Institution
University position
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Professional Title for Faculty
(Assistant Professor, Associate Professor, etc.)
Please, let us know if you will be attending the lunches and evening poster presentation below.
Lunch on Monday, March 27
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Evening poster presentation with hors d’oeuvres
Monday evening
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Lunch on Tuesday, March 28
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Will you be presenting a research poster or presentation?
If yes, please answer the following questions, If no, please submit this form (Button at the bottom).
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If you are presenting, complete the information below
Title of Research Poster/Presentation
Abstract Title
Authors
List as J.Nör, K.Smith, C.Garcia
Abstract
2000 characters, please do not use all caps
Presenter's First and Last Name
A copy of your responses will be emailed to the address you provided.
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