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Research Day Abstracts 2010 Conference - Submission Form
Corresponding Author Name: A value is required.
Affiliation(s): A value is required.
Address: A value is required.
City: A value is required.
St: A value is required.
Zip: A value is required.
Phone: A value is required.
Cell:
Email: A value is required.
Alternate email:
   
Additional Author 1 Name:
Affiliation(s):
Email:
Phone:
   
Additional Author 2 Name:
Affiliation(s):
Email:
Phone:
   
Additional Author 3 Name:
Affiliation(s):
Email:
Phone:
   
Additional Author 4 Name:
Affiliation(s):
Email:
Phone:
   
15 minute oral presentation title: A value is required.
Select the most appropriate category for your topic :
Abstract (2500 character limit-approx 400 words): A value is required.
Short BIO-Corresponding Author/Presenter (750 characters limit-appros 120  words): A value is required.
For studies involving humans or animals, give name of approving IRB committee, approval number and date.:
   

IMPORTANT
The ISSSEEM Conference is a fully participatory professional conference. All speakers, whether they attend all the conference or not, are expected to be (or become) members of the Society and pay conference registration fees.

I agree that if this proposal is accepted, ISSSEEM has permission to print my abstract, bio and picture in the Research Day Proceedings.

I agree that if this proposal is accepted, ISSSEEM has permission to record the presentation, both in video and audio form, and to make these available to other attendees and interested individuals.

I agree that if this proposal is accepted, ISSSEEM has permission to publish my presentation, if selected, in Subtle Energies and Energy Medicine, ISSSEEM’s peer-reviewed Scientific journal. Submission of this proposal constitutes a commitment by the presenter to attend the conference to present the material as proposed and to provide electronic files of visual support (power point slides) to ISSSEEM via email by June 1, 2010 Submission of this proposal constitutes understanding of and agreement with the above statements.
   
 
I Agree
You must agree to the above statements before you can submit your information.
 

 

 
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