Please complete this form to submit an idea for consideration for one of MEUW's educational programs. Thank you!

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* 1. Please list topics you would be interested in seeing at future conferences.

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* 2. Is there a specific speaker you are interested in seeing present these topics?

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* 3. If you are a speaker interested in providing a proposal for future seminars and/or conferences, please list your contact information, topic and presentation description, and length of presentation.

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