P C R C

Pacific Coast Research Conference

This form must be filled out to accompany all proposals, both Panels and Posters


DIRECTIONS

  1. Provide the title of your panel or poster session
  2. Indicate whether it is a panel or poster
  3. Provide the name of the organizer, along with mailing and contact information
  4. Indicate your Audio/Visual needs
  5. Provide the names and contact information for every participant in your session
TITLE of SESSION:
PosterPanel
ORGANIZER NAME: Last, First
Institutional Mailing Address:
Phone:
Fax:
EMAIL:
Participant #1: Last, First
Address1:
Phone1:
Email1:
Participant #2: Last, First
Address2:
Phone2:
Email2:
Participant #3: Last, First
Address3:
Phone3:
Email3:
Participant #4: Last, First
Address4:
Phone4:
Email4:
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