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MS-AND 2023 Annual Conference Speaker Submission Form
Meeting Date: March 27th and 28th
Location: The Inn at Ole Miss - Hotel & Conference Center - University, MS
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Please provide the information about the person/people submitting the speaker conference form.
Name
*
Your answer
Employment
*
Your answer
Email
*
Your answer
Title
*
Your answer
Credentials
*
Your answer
Are there additional speakers?
*
Yes
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First and Last Name of Second Speaker
Your answer
Company / Institution / Organization of Second Speaker
Your answer
Email Address of Second Speaker
Your answer
Professional Title/Position of Second Speaker
Your answer
Credentials of Second Speaker
Your answer
First and Last Name of Third Speaker
Your answer
Company / Institution / Organization of Third Speaker
Your answer
Email Address of Third Speaker
Your answer
Professional Title/Position of Third Speaker
Your answer
Credentials of Third Speaker
Your answer
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