Osher Lifelong Learning Institute at Dartmouth

* 1. Please enter lecturer's contact information:

* 2. For panel discussion, please include all names and contact information.

* 3. Please provide a head shot of lecturer.

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* 4. Lecture Title

* 5. Lecture Description
1,500 characters (includes spaces)

* 6. Lecturer Biography
500 characters (includes spaces)

* 7. Brief Description for Flyer
150 characters (includes spaces)

* 8. Preferred dates & times

* 9. Preferred location and room capacity

* 10. Notes on transportation and travel

* 11. Hotel needed?

* 12. Equipment Needed

* 13. Number of bottles of water

* 14. Book signing?

* 15. CATV filming

* 16. Co-sponsors?

* 17. Cost for Osher

* 18. Osher contact person

 
50% of survey complete.

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