Tri-State Submission Form

First Name *

Last Name *

Institution *

Email *

Title of Presentation *

Type of Presentation *

Single (20 minutes)

Double (40 minutes)

Full Panel (60 minutes + 15 minutes Q&A)

RoundTable (60 minutes + 15 minutes Q&A)

Upload your abstract here. If you are submitting as a double or full panel, please also include titles and abstracts for your co-presenters in a single word file. *

List all other panel members.... Enter each Name, Institutional affiliation, Email address in the textbox

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