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ACHE South Conference 2012 - Proposal Submission
Thank you for your interest in submitting a proposal for the ACHE South Conference in Lexington, KY April 24-26. Complete the form below by November 7th, 2011.
First Name (Primary Contact)
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Last Name (Primary Contact)
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Organization
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Address 1
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Address 2
City
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State
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Postal Code
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Business Phone
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Email Address
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First Name (Additional Presenter)
Last Name (Additional Presenter)
Organization
Email Address
First Name (Additional Presenter)
Last Name (Additional Presenter)
Organization
Email Address
Title of Presentation:
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Abstract of Presentation (70-80 words):
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Brief Biography of Presenter(s):
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Please attach a one page double spaced presentation summary, including pertinence to conference theme.
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Special A/V Equipment Needs:
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