| Presenter Information |
| Name: (as it will appear on brochure and nametag) |
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| Job title: (as it will appear on brochure) |
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| Job title: (as it will appear on your nametag) |
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| Company name |
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| Street address |
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| City |
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| State |
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| Zip Code |
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| Best daytime phone number (including area code) |
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| Fax number (including area code) |
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| Email address (please enter carefully): |
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| Session Information |
| Preferred time for session |
indicate your preference |
| Proposed breakout session title |
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| Faculty names with degrees |
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Objective
click for Objective
Sample
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Session synopsis
click for Synopsis
Sample
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Outline of topics or talking points - between 5 and
10
click for Outline
Sample
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Bibliography - up to five
references (include author, reference, publisher, date of publication,
relevant pages - use standard format).
click for Bibliography
Sample
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