Call for Presentations ISHPES 2012

ISPHES 2012 Symposium Submission Form

Dear Colleague,

Please submit your Lecture / Symposium proposal for ISHPES.

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Identification (Correspondent Author)

Name:

Address 1:

City/Town:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

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Please, select a kind of proposal:

Lecture (50 min plus 15 min for questions)

Symposium (three participants, 30 min each plus 30 min for questions)

Question Title

Lecture or Symposium Title:

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Lecture or Symposium synopsis and purpose:

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Name of speaker (1) for lecture and speakers (3) for symposium (the first na,e will be the symposium moderator):

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Please, inform for each speaker (at the same order) the correspondent Institution:

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Only for symposium, inform the specific lecture presented for each speaker (at the same order):

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Keywords (Three to Five):