2008 PAEA Annual Education Forum Poster Presentation Proposal Submission Form
Please complete and submit this form by midnight, June 22, 2008.
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Title of Poster Presentation:
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Author(s)/Facilitator(s) (include academic and professional credentials and preferred e-mail address)
Primary contact (person to receive confirmation of material):
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Last Name
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First Name
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Credentials
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Institution
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Address
Address 2
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City
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State
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Zip Code
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Phone
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E-mail
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Abstract in scholarly form (maximum 300 words)
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References: (for format information, click here)
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Target Audience
All
Program Directors
Medical Directors
Clinical Faculty
Academic Faculty
Clinical Preceptors
Other
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Indicates Response Required
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