Poster Presentation Proposal Form

The information you give here will be put on the VI PanAmerican web page.
Please enter

Sender's Name (Required)

Sender's Email Address (Required)

Presenter's Name (Required)

Presenter's Email Address (Required)

Presenter's Surface Mail Address (Required)

Co-Author's Name

Co-Author's Email Address

Co-Author's Name

Co-Author's Email Address

Title (Required)

Abstract (Required)



Optional web page address for a more detailed description of the presentation.

Do you want an official letter of acceptance? (Required)