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SKINCON24 - AMPLIFY
THANK YOU FOR YOUR INTEREST IN PRESENTING AT OUR CONFERENCE, PLEASE FILL OUT THIS FORM TO SUBMIT YOUR EXPRESSION OF INTEREST.
16
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1
To assist with preparing your abstract please download and read the presenter pack.
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2
Name:
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First Name
Last Name
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3
Company Name
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4
Phone Number:
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+614
Phone Number
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5
E-mail Address:
example@example.com
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6
Weblink to your personal or company profile (Bio)
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7
What is the title of your presentation?
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8
Provide a short (500 word) abstract
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9
Is this a sponsored presentation
Yes
No
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10
What format would you prefer to present
In person (must attend conference in Melbourne)
Online pre-recorded
Either
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11
Approvals and Ethics
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12
If this is a presentation of research, does this project have ethics approval?
Yes
No
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13
If this is a presentation of research, is this a university-endorsed research assignment?
Yes
No
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14
If this is a presentation of a case study, does this have permissions to use images and information.
Yes
No
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15
Do you have any affiliations or potential conflicts of interest to declare?
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16
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