Present a Seminar

Presentation Offer Form

Please tell us about yourself and the presentation you would like to offer at the Tomkins Institute Conference, October 14-17, 2010 in Fort Worth, Texas. If you submit more than one presentation for the committee's consideration you do not need to resubmit contact and bio information. If there are co-presenters, please have each presenter submit contact and bio information using the same presentation title.

First Name: *
Last Name: *
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Country:
Daytime Phone: *
Evening Phone:
Email: *
Title of Presentation: *
Length of Presentation: *
Seminar Track: *
Presentation Description for Publication: *
A Brief Bio of the Presenter for Publication: *
Please explain how your presentation relates to Affect Script Psychology and the Conference Theme:: *

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