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* 1. Please indicate the dates you are available:

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* 2. If you cannot attend all four days, can another representative from your company fill in?

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* 3. Name of Session:

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* 4. Speakers - Names and Organizations:

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* 5. Facilitators:

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* 6. Short Description:

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* 7. Speaker Bio:

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* 8. Rooms will be set up with projector and laptop for powerpoint. Additional A/V Requirements:

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* 9. Submitter/Session Contact Name:

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* 10. Submitter/Session Contact Phone:

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* 11. Submitter/Session Contact Email:

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