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ACOMS Anywhere 2026: Submit Your Webinar or Case Presentation Proposal
Submitter Information
1.
Submitter Name
2.
Degrees
3.
Email Address
4.
Cell phone number
5.
Will you be the presenter?
Yes
No
6.
If you will not be the presenter, or if you have a co-presenter, please list the name, credentials, and email address for the person (s) presenting on your behalf:
Name #1
Degrees #1
Email Address #1
Name #2
Degrees #2
Email Address #2
7.
Please list the following details about your practice.
Practice name
8.
Please list the number of contributing authors to your research:
9.
Please select
Webinar (60 minutes including time for Q&A)
Case Presentation (30 minutes, including time for Q&A)
10.
Presentation Title
11.
Marketing Description (please keep description to 250 words or less)
12.
Learning Objectives (4 for webinar presentation or 2 minimum for case presentation).
13.
3-4 Multiple choice quiz questions . No True/False questions. Please identify correct answers.
14.
Please select the best topic area(s) that your research applies to:
Anesthesia
TMJ Disorders/Facial Pain
Orthognathic
Sleep Apnea
Trauma
Dental Implants
Pathology
Oncology
Education/Training
Other (please specify)
15.
I confirm that the work I am presenting is original research completed by the authors listed above.
Yes
No
Please specify any additional details here about the authors of your presentation that were not listed above if applicable: