BAAM Panel Discussion Submission Form

BAAM 2010 CALL FOR PAPERS
Panel Discussion Proposal Submission Form
Submission Deadline Friday December 4, 2009.
Submission does not guarantee acceptance.

Title and Session Length

Title:
Length:

Panelist Information

If your panel discussion has more than five panelist, place additional authors in "special instructions" section.If a panelist does not have an academic or other affiliation, use city of residence. You must complete the Contact Person Name, Affiliation, and Email Address to receive confirmation of this submission.

Session Chair

Chair Name
Affiliation:
City/Province:
State:
E-mail:

Discussant

Discussant Name:
Affiliation:
City:
State/Province:
E-mail:

Panelist 1

Panelist 1 Name:
Affiliation:
City:
State/Province:
E-mail:

Panelist 2

Panelist 2 Name:
Affiliation:
City:
State/Province:
E-mail:

Panelist 3

Panelist 3 Name
Affiliation:
City:
State/Province:
E-mail:

Panelist 4

Panelist 4 Name:
Affiliation:
City:
State/Province:
E-mail:

Panelist 5

Panelist 5 Name:
Affiliation:
City:
State/Province:
E-mail:

Panelist 6

Panelist 6 Name:
Affiliation:
City:
State/Province:
E-mail:

Contact Person Information

Contact Name:	.
	(First Name, Middle initial, Last Name)
Affiliation:
Address:
Address:
City:
State/Province:
Zip Code:
Work Phone:
Home Phone:
Fax:
E-mail:

*Check here if Affilation is part of Address:

Panel Discussion Description
(Approximately 250 words)

This description will be published in the BAAM Schedule Book
and is subject to approval and editing by BAAM.

Special Instructions

Enter these numbers in the space below:

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