SHSMD's 2023 Call for Proposals notification sign-up form

Get notified!

Thank you for your interest in speaking opportunities for SHSMD Connections 2023!

Please note that this is not the form to sign-up for speaking opportunities, this is only a sign-up form to notify you once our 2023 Call for Proposals opens in November.

Question Title

* 1. Contact information

First Name

Last Name

Title

Organization

E-mail

Phone Number

Question Title

* 1. Contact information

Question Title

* 2. Comments