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Product Theater Application

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2 <strong>Application</strong>AADE12 Annual Meeting & Exhibition<strong>Product</strong> Theatres <strong>Application</strong> and Guidelines<strong>Application</strong> ChecklistDeadline for <strong>Application</strong> Submission: Tuesday, March 1, 2012Please check off these items and submit this page with your application to assist in making sure all materials arecorrectly completed. Only complete applications will be accepted.Yes, these sections have been completed in their entirety:SECTION 1:SECTION 2:SECTION 3:SECTION 4:SECTION 5:Program Session Materials<strong>Product</strong> Theatre ContactsSpeaker ListProgram, Topics and GoalsDue Date and Payment Agreement FormYes, these additional requirements have been met and/or noted:This electronic application and attachments must have typed responses and be submitted as a digital file.See the submission instructions on page 6 of the application for complete detailsSubmitted information will be used in AADE12 promotional materials and websitePayment must be received by April 2, 2012www.diabeteseducator.org/corpsym

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