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This form is for anyone wishing to give a paper (lecture) or present a poster at the AHS 2019 Conference. We welcome any and all presentations related to amphibians and reptiles in Alaska, both wild and captive. We also welcome those from Alaska researchers working with these species elsewhere in the world. All presenters are asked to fill out this form in its entirety by midnight on April 15th, 2019. Your presentation title and abstract will be published in the conference agenda. Following submission, please register for the conference if you have not already done so.

Last Name:*

First Name:*

Middle Initial*

What is your title?*

Preferred Email Address:*

Preferred Phone Number:

How will you be presenting?*

What is the format of your presentation?*

What is your preferred presentation duration?*

What instition are you affiliated with, if any?

What is the intended title of your presentation?*

Please type an abstract or overview of your presentation to be included in our conference agenda:

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