MILCOM 2015 Panel Proposal

MILCOM 2015 Panel Proposals

Please fill out this survey with as much information as you can.

Note: Questions highlighted with an asterisks are required.

Question Title

* 1. What is the panel title?

Question Title

* 2. Panel abstract (150 Words or Less)

Question Title

* 3. Subject Keywords

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* 4. Panel Organizer:

First Name:

Last Name:

Organization:

Address:

Office Phone:

Mobile Phone:

E-mail:

Question Title

* 5. Panel Moderator:

First Name:

Last Name:

Organization:

Title:

E-mail Address:

Phone Number (Office):

Phone Number (Mobile):

Status ("Proposed", "Invited", "Confirmed"):

Position Statement (25 words or less):

Bio (100 words or less)

Question Title

* 6. Panelist 1:

Name:

Title:

Organization:

E-mail Address:

Phone Number (Office):

Phone Number (Mobile):

Status ("Proposed", "Invited", "Confirmed"):

Position Statement (25 words or less):

Bio (100 words or less):

Question Title

* 7. Panelist 2:

Name:

Title:

Organization:

E-mail Address:

Phone Number (Office):

Phone Number (Mobile):

Status ("Proposed", "Invited", "Confirmed"):

Position Statement (25 words or less):

Bio (100 words or less):

Question Title

* 8. Panelist 3:

Name:

Title:

Organization:

E-mail Address:

Phone Number (Office):

Phone Number (Mobile):

Status ("Proposed", "Invited", "Confirmed"):

Position Statement (25 words or less):

Bio (100 words or less):

Question Title

* 9. Panelist 4:

Name:

Title:

Organization:

E-mail Address:

Phone Number (Office):

Phone Number (Mobile):

Status ("Proposed", "Invited", "Confirmed"):

Position Statement (25 words or less):

Bio (100 words or less):

Question Title

* 10. Panelist 5:

Name:

Title:

Organization:

E-mail Address:

Phone Number (Office):

Phone Number (Mobile):

Status ("Proposed", "Invited", "Confirmed"):

Position Statement (25 words or less):

Bio (100 words or less):

Question Title

* 1. What is the panel title?

Question Title

* 2. Panel abstract (150 Words or Less)

Question Title

* 3. Subject Keywords

Question Title

* 4. Panel Organizer:

Question Title

* 5. Panel Moderator:

Question Title

* 6. Panelist 1:

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* 7. Panelist 2:

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* 8. Panelist 3:

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* 9. Panelist 4:

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* 10. Panelist 5:

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* 11. Proposed panel format or special requirements: