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Nominated By: |
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Name (last, first, middle initial):
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Affiliation/Institution:
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Address (Street, City, State, Zip, Country):
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Proposed Invited Talk: |
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Name (last, first, middle initial):
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Title of Talk:
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Affiliation/Institution:
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Address (Street, City, State, Zip, Country):
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Abstract:
(Cut and Paste
Plain Text)
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(An abstract or description of the proposed talk may be mailed to
jsavino@pppl.gov ) |
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Comments:
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If you would prefer to register via fax or mail click