Professional Program Presentation Request

Professional Program Presentation request Form
Please return this information via e-mail to our office no later than 90 days prior to your Delegation Convene Date. Presentations will be reviewed by your delegation leader and added to the agenda for the exchange as appropriate. Presentations are not guaranteed.
Professional Delegates Name*

First NameLast Name
Professional Delegates Title and Employer*

TitleEmployer
Delegation Title/ Associaiton*
Delegation Destination*
Is this Presentation necessary for funding,CME, CEU, or CLE?*

YesNo
Presentation Information*
Why is this Presentation Important?
Presentation Abstract
Do not exceed 250 words
Upload any appropriate documents

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