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Request to Present

Thank you for your interest in presenting at a future AATB Meeting. Your request will be submitted to and reviewed by the appropriate committee/task force.

Should your presentation be selected, you will be contacted for additional information. Should your presentation NOT be selected, it will remain on file with AATB and reconsidered for future meetings.

Lastly, you can submit multiple topic/presentation proposals, but we request that you list only one topic/presentation on each form submitted. Should you have problems with your submission, please contact or 703-827-9582.

Thank you again for your interest and support of the AATB.

Maggie Deuel

First and Last name:

Email Address:

Phone Number:

Proposed Topic Title:

Learning Objectives for your Presentation*
Please list 3-5 objectives.   Enter at least 2 responses and no more than 5 responses:






Please describe your background and area of expertise in 200 words or less.

Please print this page prior to submission for your records.