2019 SNMMI Annual Meeting Session Proposal

Basic Information

Details may be found in the email that accompanied this link. If you are submitting multiple session proposals, you will need to fill out a separate form for each proposed session.

Please note, if you stop in the middle of a form, you will not be able to return to finish it and will have to start over. Please provide as much information and details as possible to better assist in the selection process.

Questions? Please contact Lisa Dickinson at ldickinson@snmmi.org.

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* 1. Please indicate the organization you are submitting a proposal for:

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* 2. Please provide your contact information:

Name:

Title:

Email address:

Phone number:

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* 3. Joint Sponsor: The SNMMI Scientific Program Committee encourages collaboration among our centers,
councils and with outside organizations. If this is a joint proposal, please indicate the Center, Council, or
organization who will be co-organizing. Please make sure that you have also communicated your intention
to submit a joint proposal with the other entity identified below. (click on the box to see the dropdown menu)

Question Title

* 4. Joint Sponsor: Please provide the name and contact information for the individual with whom you have
discussed this proposal in the organization jointly sponsoring this session.

Name:

Email address:

Phone number:

Question Title

* 1. Please indicate the organization you are submitting a proposal for:

Question Title

* 2. Please provide your contact information:

Question Title

Question Title

* 4. Joint Sponsor: Please provide the name and contact information for the individual with whom you havediscussed this proposal in the organization jointly sponsoring this session.

* 4. Joint Sponsor: Please provide the name and contact information for the individual with whom you have
discussed this proposal in the organization jointly sponsoring this session.