Form

Full Name*
Position*
Institution*
Email Address*
Work Phone*
Home Phone*
FAX
Website
Address (include city, state/province, zip/postal code, and country)*
Choose one of the following options*
Do you give your permission to have your participation recorded?*

Yes No
If proposal is approved, I agree to become a paid member of SPS for the year of the meeting and register for and attend the annual meeting.*

Yes No
If paper proposal is approved, I agree to submit paper in SPS format by no later than the established due date on the website.*

Yes No
Presentation Title (As it should appear on the program)*
Presentation Synopsis (Proposal should be 500 words including working title, statement of problem, scope & outline of project, brief discussion of methodology, and tentative conclusion)*
Audio/Visual Requests (subject to availability) Check ALL that apply

LCD Projector Transparency Projector Slide Projector w/Carousel Screen (for projectors) Windows Computer/Laptop Macintosh Computer/Laptop Internet Connection Cassette Player CD Player VCR and Monitor DVD Player and Monitor
Please suggest two respondents with their email addresses:
Recommended First Respondent (name & email)
Recommended Second Respondent (name & email)
Have you submitted this or another presentation to another Interest Group? Please explain*
Additional Comments
Should be Empty: