PBMI Conference Speaker Proposal

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 Primary Contact
*First Name:
Middle Initial:
*Last Name:
Suffix:
Degrees/Designations:
*Job Title:
*Company:
Segment:
Mail Code:
*Address:
*City:
*State/Province:
   *ZIP/Postal Code: 
*Country:
*Tel:
      *Fax: 
*Email:

*Topic Title:

*Learning Objectives for Proposed Presentation (Minimum of 3):
*50-word Description of Presentation:

*Speakers:

(max 3) contact pbmi@pbmi.com if you have more than 3 speakers
 Speaker #1
*First Name:
Middle Initial:
*Last Name:
Suffix:
*Job Title:
*Degrees/Designations:
*Company:
Segment:
Mail Code:
*Address:
*City:
*State/Province:   *ZIP/Postal Code: 
*Country:
*Tel:       *Fax: 
*Email:
*Speaker References (Minimum of 2):

Required Attachments:

Short Speaker Bio (3 to 5 paragraphs):

Recent Presentation developed for external audience:

Call for Speaker Presentations will not be considered without these attachments.
If you have any questions about PBMI’s 2011 Call for Speaker Presentations process, please contact us at (480) 730-0814 or pbmi@pbmi.com.









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