Contact person for poster presentation (one person only): Name: Address: (Home) Phone: Fax: Email: (Work) Phone: Fax: Email: Title of Presentation: Qualifications of Presenters (attach additional sheet for each presenter with following information): Presenter’s Name(s): (Please list all presenters and the credentials.) 1. 2. 3. 4. Poster Proposal (1-2 sentences describing the project your poster presents): |