2003 Abstract Submission Form

Title of Presentation:

Session Title

Primary Presenter (information printed as you wish it to appear in the program):

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail

Co-Authors/Presenters (name, title & affiliation):

Name (1)
Name (2)

Presentation Format (check one):

2 Hour symposia/Workshop 50 Minute Paper/Workshop Poster Session

Please indicate equipment needs (equipment is not available for poster session):

Slide Projector (35 mm)
Overhead Projector
VCR/Monitor
LCD Panel
Flipchart
Other

Presentation Description (50 words or less -- to be used in the preliminary program):

Presentation Abstract (including content, purpose, format, target audience, etc. -- 100 words or less)