Program Submittal Form - Slice of Life 2002

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PROGRAM SUBMITTAL FORM
Print for Fax or Postal Email

    1) Print the form below.
    2) Fill in the information.
    3) Keep a copy of your submission for your records.

    4) Fax or mail it to:

      Suzanne Stensaas
      Eccles Health Science Library
      University of Utah
      10 North 1900 East
      Salt Lake City, Utah 84112-0589
      Phone (801) 585-1281
      Fax (801) 581-3632
      Email suzanne.stensaas@hsc.utah.edu

If you are faxing the document, please also email suzanne.stensaas@hsc.utah.edu for pickup.

The deadline for submissions has been extended to January 23, 2002.


Presentation Formats
(Click here or on any of the options below for a description of the presentation formats)

PreWorkshop: Hands-on or Tutorial Proposal
Demonstration with Equipment (afternoon)
Auditorium Presentation (20 mins.)
Breakout Session or Panel Proposal
Poster


Presentation Title

Presenter(s)

Institution

Abstract (one page maximum)


Benefit to Participants Attending Your Presentation, Demonstration, Poster or PreWorkshop

(Three to five sentences explaining why your demo, poster, presentation, pre-workshop,
or breakout session would be of benefit to the participants.)


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)


Internet connection required? (Please Respond)

Yes   No


Minimum Equipment Needs (Please be specific)