Education Session Proposal

Thank you for your interest in speaking at the 5th Annual today’s surgicenter Conference. Education session submissions should be strictly non-promotional in nature. An Advisory Board will review all submissions and make recommendations for the education program. Criteria for inclusion on the educational agenda include significance to the industry, originality, and credentials of the presenter.

Please complete the information below to submit your proposal. Proposals will be accepted through June 30th, 2008.

Please contact Jennifer Schragg at 480-990-1101, ext. 1675 with any questions or concerns.

CONTACT INFORMATION
NAME:
ORGANIZATION/ AFFILIATION:
ADDRESS:
CITY:
STATE:
ZIP:
COUNTRY:
PHONE:
FAX:
E-MAIL:
Presentation Title:
Speaker Biography (Maximum of 150 words):
Synopsis of proposed presentation/ Session outline (Maximum of 150 words)
Significance of topic to the industry (Maximum of 150 words)
Please disclose any personal financial relationships with a commercial or other party related to the subject matter of this proposed presentation. (Maximum of 200 words)

To attend, call (800) 454-5760
To exhibit, advertise and sponsor contact Dana Armitstead at (480) 990-1101 ext. 1272