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* 1. Contact Information

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* 2. Is the Presenter/Session Leader the Same Person as Above?

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* 3. If Not, Please Provide Presenter's/Session Leader's Information Below

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* 4. Please indicate which audience best aligns with your proposed presentation:

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* 5. Proposed Presentation Title:

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* 6. Briefly describe your proposed session:

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* 7. Key takeaways from the session:

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* 8. Indicate preferred session format:

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* 9. If panel format, do you need assistance in finding panelists?

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* 10. Presenter's/Panelist's Experience and Expertise

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