ࡱ> NPM#` D1bjbj5G5G *<W-W- h$TH$ x:Xd4$ h##6QPPP6PP:d,l @bVR f 0 #|*##XhXJ<r66 PPPP D $ ($Ld 21st Annual TACCLD Conference Wednesday, February 27th, 2008 The Blackwell Inn at the Ohio State University Columbus, OH PROGRAM SESSION FORM (Please click mouse in the text field to enter text then tab to next field. Click appropriate check boxes to make selections. Print and mail to address below) Program Title:  FORMTEXT       Coordinating Presenter: Name:  FORMTEXT       Title:  FORMTEXT       Institution:  FORMTEXT       Business Address:  FORMTEXT       Home Phone:  FORMTEXT       Business Phone:  FORMTEXT       Fax:  FORMTEXT       E-mail:  FORMTEXT       Co-Presenters/panels: Please provide name and information for all co-presenters: Co-Presenter #1: Name:  FORMTEXT       Title:  FORMTEXT       Institution:  FORMTEXT       Business Address:  FORMTEXT       Home Phone:  FORMTEXT       Business Phone:  FORMTEXT       Fax:  FORMTEXT       E-mail:  FORMTEXT       Co-Presenter #2: Name:  FORMTEXT       Title:  FORMTEXT       Institution:  FORMTEXT       Business Address:  FORMTEXT       Home Phone:  FORMTEXT       Business Phone:  FORMTEXT       Fax:  FORMTEXT       E-mail:  FORMTEXT       Co-Presenter #3: Name:  FORMTEXT       Title:  FORMTEXT       Institution:  FORMTEXT       Business Address:  FORMTEXT       Home Phone:  FORMTEXT       Business Phone:  FORMTEXT       Fax:  FORMTEXT       E-mail:  FORMTEXT       Preferred presentation time: Number your preferences 1-3 with #1 being your first choice.  FORMCHECKBOX  10:15-11:15  F=Alz{ 0 1 : ; A B L M * , L N b ƽr`#jhBhB>*UmHnHujhBhB>*UhBhB>*jhBhB>*Uh_Z! hBhBhBCJOJQJhvPhBCJOJQJhBh_Z!56CJ h_Z!6CJ h5CJhNhN5CJ h_Z!5CJhNhN5CJH* hN5CJ hN5CJ =lz{1 2   @ 8 , . \ h`hgdBh^hh^hgdB & FgdB$a$D1b d f p r   & ( * 4 6 B D P R f h j t v ŵťŕ͑Ł͑qjhBhB>*UjDhBhB>*UhBjhBhB>*Uj\hBhB>*UjhBhB>*UhBhB>*h_Z!#jhBhB>*UmHnHujhBhB>*UjthBhB>*U,      ( *    " $ 4 6 J L N X Z v x ũyjhBhB>*UjhBhB>*UjhBhB>*UhBhB5jhBhB>*UhBh_Z!#jhBhB>*UmHnHuj,hBhB>*UhBhB>*jhBhB>*U+ &(JL`bdnp|~$&(2ŵťŕŅxhjhBhB>*UhBhB5 hB>*j@hBhB>*UjhBhB>*UjXhBhB>*UjhBhB>*UhBhB>*hB#jhBhB>*UmHnHujhBhB>*UjphBhB>*U( rl|  & FgdBh`hgdBh^hgdB24DFZ\^hj(*,68Z\prt~ujl hBhB>*Uj hBhB>*Uj hBhB>*Uj hBhB>*UjhBhB>*U#jhBhB>*UmHnHuj(hBhB>*UhBhB>*hBjhBhB>*U. 468BDTVjlnxz"$8:<F㸨㸘㸈xhj$ hBhB>*Uj hBhB>*Uj< hBhB>*Uj hBhB>*UjT hBhB>*UhBhB>*hBhBhB5 hB>*#jhBhB>*UmHnHujhBhB>*Uj hBhB>*U(FHjl(((((6(8(T(V(X(Z((vjhBUjhhBUUjhBUjhBUh_Z!jhBhB>*Uj hBhB>*U#jhBhB>*UmHnHuj hBhB>*UhBhB>*hBjhBhB>*U.ORMCHECKBOX  11:30-12:30  FORMCHECKBOX  2:00-3:00 I (we) CANNOT speak at  FORMCHECKBOX  10:15-11:15  FORMCHECKBOX  11:30-12:30  FORMCHECKBOX  2:00-3:00 Audio-visual equipment requests: Please check all that apply.  FORMCHECKBOX  Overhead Projector  FORMCHECKBOX  Screen  FORMCHECKBOX  Flip chart Other:  FORMTEXT       6. I plan to register for the conference:  FORMCHECKBOX  Yes  FORMCHECKBOX  No 7. I am attending ONLY my session, but will stay for lunch:  FORMCHECKBOX  Yes  FORMCHECKBOX  No There are  FORMTEXT      (#) others involved in my program who will also be guests for lunch. I will be responsible for communicating with all co-presenters any information relevant to this program. Signature: _________________________________ Date: ___________________ Please provide a 50-100 word narrative describing your presentation. This will be included in the program booklet. Feel free to attach a separate sheet.  FORMTEXT       Please submit this form by January 15, 2008 to Lisa Besnoy at  HYPERLINK "mailto:besnoyl1@nku.edu" besnoyl1@nku.edu or fax at 859-572-5874. 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