DavidDuarte

  • Submitter Information

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    texting cell phone preferred

  • Clinician/Presentor Information

    please provide all the details below
  • The session would be appropriate for *

    Check all that apply

  • NOTE AV Equipment:
    AMEA will provide LCD Projector with VGA cable, Screen and Internet Access. All other AV needs will need to be arranged and paid for by the presenter. *
  • PLEASE NOTE: The projector we provide comes with VGA hook up. if your device needs another hook up such as Apple, HDMI etc please bring the appropriate dongle (adaptor).

  • NOTE: If YES - You will need to bring your own computer speakers or you can rent them from the Marriott.

  • Sponsoring Group Information

  • If you have more that 2, please contact billrichardson1812@gmail.com

  • Clinician #1

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  • 100 words maximum (for program length)

  • Necessary only if you are an Arizona resident

  • / / Pick a date.
  • please attach a photo - no larger that 200 KB

  • Clinician #2

  • - -
  • Necessary only if you are an Arizona resident

  • / / Pick a date.
  • 100 words maximum (for program length)

  • please attach a photo - no larger that 200 KB