2015 GNSI Presentation Submission form

GNSI Annual Conference Presentation and Workshop Submission Form

Glenside/Philadelphia, PA - July 5-11, 2015 <br />Thank you for being part of the GNSI annual conference!
Important!! If you are presenting more than once, please submit one form per presentation/workshop.

Please fill out the form below and submit at your earliest convenience.

If you have a computer file with the information, you can simply copy and paste the responses in the text boxes.

If you have any questions, please contact
Liz Lockett (elockett (at) gmail.com) for traditional presentations/workshops or

Ben Smith (ben.smith6 (at) gmail.com) for digital presentations/workshops

Ikumi Kayama (ikumikayama (at) gmail.com) for technical and moral support.
PS: When you are finished entering your information, please hit "submit" at the end of the page.
Full Name *

First Name Middle Name (optional) Last Name
Email Address *
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Phone Number

Area Code Phone Number
Cell Phone Number

Area Code Phone Number
Type of Presentation *
Please select the "type of presentation" to complete the remainder of the submission form.
Are you an active GNSI member? *

Yes No
Did you already submit your biography info using this form? *

Yes No
Are you planning to attend the conference or just come for your presentation/workshop?

I will be attending the conference I will only be there to present

GNSI Annual Conference Presentation and Workshop Submission Form