PHOTOMEDICINE SOCIETY ANNUAL MEETING
ABSTRACT APPLICATION FORM
This form must be completed and submitted with your formatted abstract. Abstracts can be submitted via (i) MAIL/COURIER, or (ii) ONLINE via Email attachment. Applications are due: December 4, 2009.
Submissions are considered incomplete
unless both the formatted abstract and this application form are submitted.
Title of abstract:
Corresponding Author:
Name |
|
Address |
|
|
|
|
|
|
|
Telephone no. |
|
Fax no. |
|
Email address |
|
**Presenting Author:__________________________________________________________________________________________________
ALL ABSTRACTS ARE ORAL PRESENTATIONS.
Does the abstract qualify for the best presentation award by a resident/fellow/student (the first author and presenter should be a trainee)?
If so, do you wish to compete for this award?
|