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NWMOA Speaker Abstract/Bio Form – 2014 Annual Conference

The Deadline for Submissions is March 21, 2014 (please note that Presentations will be due June 19, 2014). If you are submitting on multiple topics for this event, please fill out one form for each abstract. NWMOA will be in touch when the Committee has made its selection.

Presenter Information:
Salutation*
First Name*
Last Name*
Company*
Job Title*
Mailing Address*
City*
State*
Zip/Postal Code*
Country*
Phone*
Cell
Fax
Email*
Email Notifications*
- Yes, I authorize receiving publication email notifications
- No, I would not like to receive publication email notifications (opt-out)
Authorization for receiving publication email notification from NWMOA.
(applies to all email addresses on this form)
Website
Presenter Biography*
(please provide one paragraph - 150 words or less)
Contact for Submission?*
- Same as presenter
- Different from presenter
Contact Person Information:
Salutation*
First Name*
Last Name*
Company*
Job Title*
Mailing Address*
City*
State*
Zip/Postal Code*
Country*
Phone*
Cell
Fax
Email*
Website
Abstract Submission:
Topic Title*
(please provide the topic title for your presentation)
Similar work presented before April of 2014?*
- Yes
- No
Location of prior presentation?*
Date of prior presentation?*
Topic Abstract*
(please provide a brief description of the topic session that you will present and how it applies to both water operators and wastewater operators)
Final Step of Application Process
Please enter the letters displayed below to complete your application and then click Submit.
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