Presentation Submission Info

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* 1. Proposed Title

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* 2. Brief Description (max 150 words)

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* 3. Lead Presenter (if more than one presenter, the Lead will receive all correspondence)

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* 4. Affiliation(s) with SMART Recovery (i.e. Facilitator, Message Board Volunteer, Training Team, Committee Member, etc.) 

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* 5. How long have you been affiliated with SMART Recovery?

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* 6. Secondary affiliation? (optional - your employer, professional or academic credentials)

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* 7. Mailing address

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* 8. Phone number 

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* 9. Email address

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* 10. Any special A/V equipment needs? (besides a projector, screen & laptop and mic for PowerPoint presentations)

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