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naehcy conference concurrent sessions request for proposals

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Answer If How many co-­‐presenters are you planning to have ... I will have two (2) co-­‐presenters. Is Selected <br />

Complete all of the following contact in<strong>for</strong>mation <strong>for</strong> the first and second co-­‐presenters. The <strong>conference</strong> <br />

planning committee assumes that the lead presenter is the person who submits the presentation. All <br />

correspondence will be addressed to that person unless otherwise indicated. <br />

1st Co-­‐Presenter First Name <br />

Last Name <br />

Position Title <br />

Agency/Organization/School District Name <br />

Address 1 <br />

Address 2 <br />

Address 3 <br />

City <br />

State (use standard two-­‐letter abbreviation -­‐ e.g., TX) <br />

Zip Code <br />

Phone Number (xxx-­‐xxx-­‐xxxx) <br />

Telephone Extension Number (if applicable) <br />

Cell or Alternate Phone Number (xxx-­‐xxx-­‐xxxx) <br />

Email Address <br />

2nd Co-­‐Presenter First Name <br />

Last Name <br />

Position Title <br />

Agency/Organization/School District Name <br />

Address 1 <br />

Address 2 <br />

Address 3 <br />

City <br />

State (use standard two-­‐letter abbreviation -­‐ e.g., TX) <br />

Zip Code <br />

Phone Number (xxx-­‐xxx-­‐xxxx) <br />

Telephone Extension Number (if applicable) <br />

Cell or Alternate Phone Number (xxx-­‐xxx-­‐xxxx) <br />

Email Address

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