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* 1. Presentation title or desired topic

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* 2. Presenter's name (if known)

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* 3. Agency/Company name (if known)

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* 4. Your name and email address

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* 5. Type of proposed presentation

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* 6. Length of presentation type

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* 7. Abstract of proposed presentation

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* 8. Learning Objectives (List up to three main points)

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* 9. Presenter biography (limited to 120 words)

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* 10. Finally, please add any other comments or questions.

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