Program Submittal Forms
Program Submittal Forms

PROGRAM SUBMITTAL FORM

You may submit online by using the form below, or by contacting Suzanne Stensaas, STENSAAS@lib.med.utah.edu, Department of Neurobiology and Anatomy, FAX (801) 581-4233.


The following information must be included on all submissions


Presentation Type Demonstration and/or Auditorium Presentation
Pre-Workshop: Hands-on or Tutorial Proposal
Breakout Session or Panel Proposal
Poster
Presentation Title
Presenter(s)
Institution


Primary Author's Information


Name Primary Author
Address
Telephone Number
Fax Number
E-mail Address
Web Site (if available)


Co-Authors' Information


Name Co-Author(s)
Address(es)
Telephone Number(s)
Fax Number(s)
E-mail Address(es)
Web Site(s) (if available)


Benefit in Attending Session
(Three to five sentences explaining why attending the presentation will be of benefit to the participant)


Minimum Equipment Needs
(Please be specific)

Internet connection required? Yes No


Abstract
(Two paragraphs maximum)



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