Please fill in this form with details of the primary contact and
Transcription
Please fill in this form with details of the primary contact and
Please fill in this form with details of the primary contact and presenter. Send this form along with a photo of the presenter and any explanatory materials (up to 2 A4 pages) to: [email protected]. We look forward to receiving your submission. Call for Abstract Timeline Submission Closes: Friday, 29 May 2015 Acceptance Notification: From Monday, 15 June 2015 Presentation Details Title of Presentation Abstract Text (max. 300 words) Has this submission been published or presented previously? Select Track Yes No Please select: Author information Main Author Name (Capitalise Surname) Salutation Please select Professional Title Company Name Address State City Postal Code Country Phone + Mobile + Fax + Email Presenter information Name (Capitalise Surname) Salutation Mobile Please select + Email Brief Bio-sketch of Presenter (approx. 100 words): Please attach a professional photo of yourself to your email, thank you.