I. Contact Information

Please answer the following questions about yourself.

NOTE: You will not be able to view your responses after you submit this form. Please save your responses in a separate document before completing your submission.

1. Name

Question Title

* 1. I. Contact Information

Please answer the following questions about yourself.

NOTE: You will not be able to view your responses after you submit this form. Please save your responses in a separate document before completing your submission.

1. Name

Affiliation

Question Title

* 2. Affiliation

Mailing Address

Question Title

* 3. Mailing Address

Contact Information

Question Title

* 4. Contact Information

Please acknowledge any CO-AUTHORS who will NOT be able to be present with you. Their names will not appear in the conference program, as we only print names of presenters. (Please acknowledge them in your presentation.)

Question Title

* 5. Please acknowledge any CO-AUTHORS who will NOT be able to be present with you. Their names will not appear in the conference program, as we only print names of presenters. (Please acknowledge them in your presentation.)

Will there be co-presenters for your presentation (maximum of 3)?

Question Title

* 6. Will there be co-presenters for your presentation (maximum of 3)?

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