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1. What is the name and title of the proposed speaker? (Required.)

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2. What is your company and website URL? (Required.)

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3. Please provide us with a biography and speaking history of the proposed speaker. (Required.)

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4. What topic does your submission best represent? (Required.)

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5. Who is the best target market for this presentation? (Required.)

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6. What is the title of your submission? (Required.)

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7. In no more than 300 words, tell us what your proposal is about. (Required.)

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8. What back up materials do you have for this proposal? (Required.)

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9. Have you presented on this topic before? If so, what conferences and when. (Required.)

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10. What is your email address? (Required.)

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11. Is your company interested to sponsor, exhibit, attend the Fall 2013 Northeast DAS + Small Cell Forum Conference? (Required.)

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12. If we have questions about your submission, who should we contact? (Required.)

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13. Would you like to recommend a speaker or panelist for NEDAS to contact? If so, please provide us their information to follow up.

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