On behalf of the Michigan Oral Health Coalition, we invite you to submit a poster presentation proposal for the 2018 Michigan Oral Health Conference scheduled May 17-18 in East Lansing, Michigan. The Coalition seeks proposals for posters addressing innovative programs, research, community engagement, oral health literacy and data related to oral health. Funds are not available through Michigan Oral Health Coalition to support poster presenters' travel. All poster presenters must register online for the conference. Please complete the below form. If you have any questions, please contact Executive Director Karlene Ketola at kketola@mohc.org.

Proposed Poster Title:

Question Title

* 1. Proposed Poster Title:

Brief narrative of proposed purpose, goals and content of the Poster Presentation: 150 words maximum

Question Title

* 2. Brief narrative of proposed purpose, goals and content of the Poster Presentation: 150 words maximum

Contact Name and Credentials:

Question Title

* 3. Contact Name and Credentials:

Job Title:

Question Title

* 4. Job Title:

Organization:

Question Title

* 5. Organization:

Mailing Address:

Question Title

* 6. Mailing Address:

City/State/Zip:

Question Title

* 7. City/State/Zip:

Email:

Question Title

* 8. Email:

Phone Number:

Question Title

* 9. Phone Number:

T