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*Required fields are marked with an asterisk.
*
Please indicate whether you are requesting a Session Proposal, Networking Exhibit Proposal or Both.
Session Proposal
Networking Exhibit Proposal
Both
*
Presentation Title:
Presentation Strands
(Not applicable to Networking Exhibit)
Partnerships
Programs
Practice
Policy
Lead Contact
*
Title:
Mr.
Ms.
Mrs.
Dr.
Select
*
First Name:
*
Last Name:
*
Institution/
Organization:
*
Mailing Address:
*
City:
*
State:
*
Zip:
*
Business Phone:
Fax
*
Email:
Other Presenters
(Please Complete All Information for Additional Presenters)
Name:
Institution/
Organization:
Email:
Name:
Institution/
Organization:
Email:
Name:
Institution/
Organization:
Email:
Name:
Institution/
Organization:
Email:
Description of Presentation
*
Summary of session/exhibit presentation for program booklet (50 word maximum, written in 3rd person narrative).
*
Description of proposed session presentation to be considered by the program committee (500 word maximum).
Not Applicable for Networking Exhibits.
*
Brief description of presentation format including intended audience.
Equipment Needs (for Session Proposals only)
To continue to keep costs at a minimum for conference attendees, NACCTEP is unable to provide any audiovisual equipment for presenters.
For a fee of
$145
(each), the following equipment will be provided. Please specify your needs below.
LCD Projector and Screen
DVD Player with Monitor
Contact
Pam Ast
i with any additional AV requests.
A fee of
$50
will be charged per presentation for a screen only. Please check below is a screen is needed.
Screen
Please check below if an Internet connection is needed. There will be
no charge
.
Internet Connection
Please check below if you
do not need any equipment
. No fee will be assessed for those presentations not needing equipment.
No equipment needed.
If your Session proposal is not selected, would you be interested in having your proposal turned into a Networking Exhibit?
Yes
No
Networking Exhibit
There is no fee for a Networking Exhibit. Contact NACCTEP with all AV requests. Per your specific request, fees will apply.
I have
exhibited a Networking Exhibit/Poster Session at a NACCTEP conference.
I have never
exhibited a Networking Exhibit/Poster Session at a NACCTEP conference.
ALL session and exhibit presenters MUST register for the conference.
If you are unable to complete and submit this form online, please
feel free to print out the PDF version here
. Fax printed forms to Pam Asti at 480.731.8786.
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