ILHIMA Annual Meeting Call for Speakers Name * Name Name Name Credentials Company/Facility Name * Address * Address Address Address Address Address State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Address Phone * Email * Title of Presentation * Session Description: In 100 words or less clearly describe the content of your presentation. * This description will be used by the committee during the speaker selection process. Provide 2-3 sentences explaining the content of your presentation and what the attendee will learn. This information will be included in the premeeting promotional brochure. ILHIMA reserves the right to edit this information. * What fees/expenses do you charge for presenting? * List any organizations that have heard your presentation and include the contact person for that organization, along with phone and email. Please attach your photo. Drop a file here or click to upload Choose File Maximum upload size: 268.44MB Additional Comments If you are human, leave this field blank. Submit
