Symposium Proposal

Lead Organizer Name *

First

Last

Lead Organizer Affiliation *

Lead Organizer Email *

Proposed Symposium Title *

Proposed Symposium Overview *

Proposed Presenter 1 *

First

Last

Presenter 1 Email *

Presenter 1 Affiliation *

Has Presenter 1 already agreed to participate in the event the symposium is selected for CRYO2019? *

Proposed Presenter 2 Name

First

Last

Presenter 2 Email

Presenter 2 Affiliation

Has Presenter 2 already agreed to participate in the event the symposium is selected for CRYO2019?

Proposed Presenter 3 Name

First

Last

Presenter 3 Email

Presenter 3 Affilliation

Has Presenter 3 already agreed to participate in the event the symposium is selected for CRYO2019?

Proposed Presenter 4 Name

First

Last

Presenter 4 Email

Presenter 4 Affilliation

Has Presenter 4 already agreed to participate in the event the symposium is selected for CRYO2019?

Details of any other presenters, or any other relevant information

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