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* 1. Presenter 1: Name and nursing designation:

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* 2. Presenter 1: Job Title:

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* 3. Presenter 1: Email address:

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* 4. Presenter 1: Phone number:

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* 5. Presenter 2: Name and nursing designation:

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* 6. Presenter 2: Job Title:

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* 7. Presenter 2: Email address:

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* 8. Presenter 2: Phone number:

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* 9. Possible Talk Tuesday dates you could present at (please provide three or more):

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* 10. Presentation title:

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* 11. Presentation description (2-3 sentences):

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* 12. Presenter 1 Bio:

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* 13. Presenter 2 Bio:

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* 14. Presenter 1 Headshot (picture)

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* 15. Presenter 2 Headshot (picture)

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