Call For Speakers
*Program:
Presentation Track:
*Title:
Presentation Type:
*Session Proposal / Abstract:
(150 word maximum)
*Learning Objective 1:
(16 word maximum)
*Learning Objective 2:
(16 word maximum)
*Learning Objective 3:
(16 word maximum)
Specify Target Audience:
(Functional area, attendee position, size of company, type of company)
List all Insurance companies that are committed to participate in this presentation:
Would you be willing to have your Paper Submission or Session Paper turned into an IASA hosted webinar?
If submission is accepted and used as a session paper for the annual conference, would you be willing to have your session recorded for playback at a later time?:
Were you an Exhibitor or Sponsor at our most recent Annual Conference?
Speaker # 1 Moderator:
Prefix: *First: Middle: *Last:
*Company: Title:
Address: Phone:
Mobile:
City:   State: Fax:
Zip: Country: *EMail:
Previous professional conferences
spoken at:

Speaker # 2 Moderator:
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Speaker # 3 Moderator:
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Speaker # 4 Moderator:
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Speaker # 5 Moderator:
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Speaker # 6 Moderator:
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Speaker # 7 Moderator:
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Speaker # 8 Moderator:
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Speaker # 9 Moderator:
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Speaker # 10 Moderator:
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Submitter Information
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