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Please provide contact information if a staff member will be helping to coordinate your conference participation. Enter None if not applicable.
We understand that this title may change as the presentation evolves.
Presentation description.
Three or more learning objectives; these are specific things that the audience will learn by attending the presentation. Learning objectives are required to apply for continuing education credits.
Brief bio - noting experience pertinent to presentation topic. Required field - type "supplied" if you have already submitted your bio.
Honorarium check should be made payable to: Or indicate if waived.
