1. Proposal for (Check One)

__ Session	__ Panel	__ Workshop
__ Debate	__ Exhibition	__ Conversation

Single Paper (Include single paper title here):

2. SESSION/PANEL/WORKSHOP

Title:

3. PROPOSER

Name:
Department:
Institution:
Telephone:
Address:
Email

4. CHAIR

Name:
Department:
Institution:
Telephone:
Address:
Email
Paper/Discussion Title:

5. PRESENTERS

1. Name:
   Department:
   Institution:
   Telephone:
   Address:
   Email
   Paper/Discussion Title:
2. Name:
   Department:
   Institution:
   Telephone:
   Address:
   Email
   Paper/Discussion Title:
   
3. Name
   Department:
   Institution:
   Telephone:
   Address:
   Email
   Paper/Discussion Title:
   

6. COMMENTATOR

Name:
Department:
Institution:
Telephone:
Address:
Email
Paper/Discussion Title: