Thank you for your interest in presenting at the 2022 ASMH Annual Meeting. Please complete the following survey no later than September 15, 2021.

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* 1. Name

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* 2. Title

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* 3. Company

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* 4. Email

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* 5. Proposed Session Title

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* 6. I wish to present this topic

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* 7. Session Description

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* 8. Length of time required to present this session

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* 9. Will you be presenting this topic on your own or with additional speaker(s)?

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* 10. Please list the name(s) of other individuals who will be presenting with you

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* 11. Have you presented this session before at a previous ASMH Annual Meeting?

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