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SPEAKER INFORMATION Please submit the following required items marked as “*” all other information is optional. Speakers' email and phone numbers will not be published or shared unless requested by the speaker.

Presentation Format:
Question & Answer Period:
Will there be a moderator:
Open Press/Closed Press:
Registration Cost Covered By Host:
Travel & Lodging Covered by Host:
Host will reimburse speaker for:
For Profit/Not for Profit:
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