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Submit a Presentation/Publication

Please submit each publication or presentation separately, only one to a form, for possible use in print or electronic publications. To submit an Honor, Award or Certification see this form.

Presentation/Publication Information

Date of Presentation:

Title of Presentation/ Publication:

Presentation/Publication Type:

Poster

Panel

Lecture

Book

Chapter in Book

Journal Article

Other

Where presented (conference, meeting)/published:

Sponsoring organization, conference, meeting title:

Location

City:

State:

Country:

Other Significant Information:

Presenter's/Author's Information

Submitted by (if different from presenter/author):

Name:

E-mail:

Phone No.:

This box must blank be blank to submit this form.