SMCA 2021 Conference CE Submission
Please indicate the information outlined below to ensure you receive credit for your participation
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Email *
First and Last Name (As you want it to appear on your certificate) *
Breakout Session #1 *
Breakout Session #2 *
Keynote Session *
Breakout Session #3 *
Breakout Session #4
Clear selection
Total number of CEs: *
Phone number: (In case problems sending certificate by email etc.) *
By putting your name below you certify that the information in this form is accurate *
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