2012 Region 2 Refresher Seminar - August 2-3, 2012
Speaker/Presentation Information
PLEASE SUBMIT A FORM FOR EACH SPEAKER/PRESENTATION
REGION 2
Chapter Information
Chapter Coordinator:
Chapter #:
Coordinator's Email:
Coordinator's Phone:
WORKSHOP DATE AND TIME FOR THIS PRESENTATION
Thursday
1:30pm
OR
3:30pm
Friday
8:30am
OR
10:30am
WORKSHOP TITLE
PRESENTATION TITLE
PRESENTATION ABSTRACT
Speaker
Name:
Company/Agency:
Email:
PLEASE INCLUDE A
SHORT
SPEAKER BIO
