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Speaking Opportunities
If you are interested in a speaking opportunity at the Clean
Tech World Congress, August 14-15, 2007 at the 4th International
Congress of Nanotechnology 2007, November 5-7, 2007, please complete the Speaker Form below.
All fields marked with an asterisk (*) are required |
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1. Please select the International
Congress you wish to speak:
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*Conference |
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Please select an area of your presentation |
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*Area: |
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Other area |
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Please Describe The Topic You Would Like To Address
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Topics of
your talk |
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Abstract or Executive Summary
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An brief abstract or an executive summary (150-200
words) is required*
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You can
submit a longer version of your abstract up to 2 pages long
via email to
program@ianano.org
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Personal Details
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Title |
* |
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First Name |
*
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Last Name |
*
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Job Title |
*
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Organization |
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Email Address |
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| Telephone Number
(including . Country Code) |
* |
Fax Number
(including . Country Code) |
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Address Details
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Address Line 1 |
* |
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Address Line 2 |
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Town / City |
* |
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If USA, please select your State. Otherwise please complete your County / Province.
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State (US Only) |
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County / Province |
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Post Code / Zip |
* |
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Country |
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Your areas of Interest
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Primary Interest |
* |
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Secondary Interest |
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If not above, please specify: |
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Please provide a brief background of your qualification and
work experience |
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Qualification and Work Experience |
* |
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Comments or Feedback |
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Thank you! |
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