* 1. What is your first name?

* 2. What is your last name?

* 3. Position, Department:

* 4. UNM Email:

* 5. Phone:

* 6. Title of Presentation:

* 7. Brief description of your presentation (3-5 sentences):

* 8. I am submitting my topic for presentation by:

* 9. Technology needs:

* 10. Times you are NOT available on Wednesday Feb. 19, 2014

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