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Initials	Joan Alice Smith = JAS
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To help us with the planning process, please answer the following questions
	I will likely need accommodation
	I am considering to submit an abstract for a single-presenter oral presentation (enter possible title below)
	I am considering to compile/chair/participate in a panel (contact 3-4 colleagues and invite them to present with me about a certain topic)

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If you have any specific suggestions for keynote topics or speakers (other than yourself) you want to hear from, then please enter the topic/title here, and provide name, affiliation, email address of a potential speaker (if known):

	I/we am/are interested in co-sponsoring the conference: Budget (min. $1000) $US

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