Your name, as you would like it listed in the program

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* 1. Your name, as you would like it listed in the program

College or institutional affiliation

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* 2. College or institutional affiliation

Preferred email address

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* 3. Preferred email address

Title of your paper, panel, or activity

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* 4. Title of your paper, panel, or activity

Abstract (125 words or less) as you would like it in the program

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* 5. Abstract (125 words or less) as you would like it in the program

How much time would you like reserved? (These times are approximate)

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* 6. How much time would you like reserved? (These times are approximate)

Additional comments

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* 7. Additional comments

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