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Call for Speakers
Call for Speakers
ILHIMA Annual Meeting Call for Speakers
Name
*
Name
First
First
Last
Last
Credentials
Company/Facility Name
*
Address
*
Address
Address
Address
City
City
State/Province
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
State/Province
Zip/Postal
Zip/Postal
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.
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