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MDPA Call for Webinar Presenters

Please complete the form below. MDPA will contact you if further information is needed. Please be advised, should your below submission be accepted, your information may be used in our print, email, and/or online publications and your webinar will be made available through our several digital platforms.

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Please enter the following information below: Presenter Name:
Presenter Title:
Presenter Organization:
Presenter Address :
City/Town:
State:
ZIP:
Presenter Author Email Address:
Presenter Phone Number:

Article Style (Choose All That Apply): Poster Display	Magazine Article	Newsletter Brief	Webinar
Other (please specify)

About the article: Topic
Title
Key Take Away 1
Key Take Away 2
Key Take Away 3
Approximate Presentation Length (in Minutes)

Optional Alternate Contact: (Please provide if you would like to be primary contact regarding this submission but are not the intended author) Name:
Title:
Company:
Address :
City/Town:
State:
ZIP:
Email Address:
Phone Number:

MDPA Webinar
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MDPA Call for Webinar Presenters

Please enter the following information below:

Brief Biographical Information:

When Are You Available to Give This Presentation:

Presentation Subject Style (Choose All That Apply):

Article Style (Choose All That Apply):

Co-Author(s) if applicable:

About the article:

Presentation Thesis and How This Information Can Benefit Participants in Their Marketing/Communications:

Optional Alternate Contact:
(Please provide if you would like to be primary contact regarding this submission but are not the intended author)

MDPA WebinarExit this survey

MDPA Call for Webinar Presenters

Please enter the following information below:

Brief Biographical Information:

When Are You Available to Give This Presentation:

Presentation Subject Style (Choose All That Apply):

Article Style (Choose All That Apply):

Co-Author(s) if applicable:

About the article:

Presentation Thesis and How This Information Can Benefit Participants in Their Marketing/Communications:

Optional Alternate Contact:(Please provide if you would like to be primary contact regarding this submission but are not the intended author)

MDPA Webinar
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Optional Alternate Contact:
(Please provide if you would like to be primary contact regarding this submission but are not the intended author)