Speaker Information Needed
Please supply additional information needed for the MWIA Meeting
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Name as you would like it listed with degrees (i.e. Jane Doe, MD, MPH, FACP)
Professional Title(s) (no more than 4 and most important first.  We can't promise that we will have enough to list them all.
Names (with degrees) and emails of any co-presentors
Do you give us permission to post a video recording of your talk on the AMWA/MWIA website?
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Do you give us permission to post your slides after the presentation?
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