Speaker Information

Please use this form to indicate your interest in speaking at the 2019 Biennial IPEBLA Conference in Lisbon, Portugal taking place May 19 - May 22, 2019.

Thank you for your time and interest in completing this form. The Conference Program Committee will be in contact with interested speakers.

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* 1. Speaker Name (first and last)

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* 2. Title

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* 3. Organization

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* 4. Email 

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* 5. Area of Expertise

Please provide a description of topics that you are able to speak on or titles of past sessions you have presented.

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* 6. Please indicate when you are able to attend

Please select all that apply.

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* 7. Please share any additional information

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