A description and requirements for each presentation type as well as alternative submission methods can be viewed by clicking here. Please make sure that you agree to fulfill all requirements before submitting your proposal. All proposals for papers must be received by October 12, 2011 and all proposals for posters must be received by January 30th, 2012 to be considered for inclusion in the 2012 conference.

Online Presentation Submission
Format of Presentation:

Acceptance of Altered Format: Do you want your proposal to be considered for alternate formats (symposium, poster presentation, panel, etc.) if the planning committee determines that a different format than the one you selected would be better for the presentation you are submitting? Yes No

Title of Presentation:

Information for Lead Presenter (This person will be responsible for all correspondence associated with this presentation. It is the corresponding presenter’s responsibility to notify presenters of the acceptance and the date and time of the event. It is also the corresponding presenter’s responsibility to submit the presentation prior to the conference.)

Name & Title Affiliation

Mailing Address

City State Zip Code Phone Number

Fax Number (if available) Email Address:

Information for Additional Presenters (If there are more than five additional presenters for this proposal please submit the information for them in the additional comments section at the bottom of this form)

2nd Presenter: Name & Title Affiliation

3rd Presenter: Name & Title Affiliation

4th Presenter: Name & Title Affiliation

5th Presenter: Name & Title: Affiliation


Assurance Statement: Submission will be considered as acceptance of the following responsibility:
“If my proposed presentation is accepted, I agree to deliver the presentation, or arrange for it to be delivered, at the 2012 NCABA conference as scheduled by the Program Committee.”

Abstract:


Presentation Goals / Objectives:


Audio Visual Needs:


Additional Information: