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Proposals must be received by Thursday, October 15, 2009
*Required fields are marked with an asterisk.
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*Please indicate whether you are
requesting a proposal or poster exhibit.
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| *Presentation Title:
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| Lead Contact |
| *Title: |
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| *First Name: |
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| *Last Name: |
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*Institution/
Organization: |
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| *Mailing Address: |
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| *City: |
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| *State: |
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| *Zip: |
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| *Business Phone: |
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| Fax |
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| *Email: |
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| Other PresentersMust Complete All Information |
| Name: |
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Institution/
Organization: |
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| Email: |
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| Name: |
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Institution/
Organization: |
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| Email: |
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| Name: |
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Institution/
Organization: |
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| Email: |
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| Name: |
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Institution/
Organization: |
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| Email: |
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| Description of Presentation |
| *Summary of presentation/poster exhibit for program booklet (50 word maximum, written in 3rd person narrative). |
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| *Description of proposed presentation to be considered by the program committee (500 word maximum). |
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| *Brief description of presentation format including intended audience. |
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| Equipment for Proposals Only |
| To continue to keep costs at a minimum for conference attendees, NACCTEP is unable to provide any audiovisual equipment for presenters. |
| For a fee of $145 (each) , the following equipment will be provided. Please specify your needs below. |
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LCD Projector and Screen |
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Overhead Projector and Screen |
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VHS Player with Monitor |
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DVD Player with Monitor |
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Other |
| A fee of $250 will be charged per presentation to utilize the internet. Please check below if an Internet connection is needed. |
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Internet Connection |
| Please check if you do not need any equipment. No fee will be assessed for those presentations not needing equipment. |
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No equipment needed. |
| If your proposal is not selected, would you be interested in having your proposal turned into a poster session? |
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| Poster Exhibit |
| The fee for a poster exhibit is $45. - Contact NACCTEP with all AV requests. Per your specific request, fees will apply. |
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I have exhibited a poster session at a NACCTEP conference. |
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I have never exhibited a poster session at a NACCTEP conference. |
ALL presenters, session or poster, MUST register for the conference. |
| If you are unable to complete and submit this form online, please feel free to print out the PDF version here. Fax printed forms to Pam Asti at 480.731.8786. |
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