* These fields are required.
Primary Presenter's Information
*Work Address 1:
Work Address 2:
*Zip: -
*Work Phone:
Cell Phone:
*Work Fax:
*Work E-mail:
*Primary Presenter's Biographical Sketch
(50 Word Limit)
Word Count:
*Areas of Interest
(Select One)
(Other area of interest):
*Presentation Title
*Suggested Length of Presentation
(In Minutes)
*25 Word Abstract
This description will be used in our conference program to inform attendees about the content that will be presented.
Please be concise and tell the attendees "What will I learn in this presentation and how will it help me in my job?"
Word Count:
Submit an outline of 250 words or less.
Word Count:
*Technology Requirements
Select from the following options:
LCD Projector/Screen
Internet Connection (NOTE: Only WIRED CONNECTION available for presentation)

Note: Audiovisual or technology needs other than those listed above must be supplied by the presenter
Is there a Co-Presenter? If so, check here and fill out the information on the next page.     
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