Seafood Summit Proposal Form

Seafood Summit 2009:
Sharing Responsibility for Real Change

Full Name:
Professional Title:
Business/Organization:
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:
Work Phone:
FAX:
Email Address:
Please indicate if you are submitting a proposal for a presentation, a panel, or a workshop (click here for further information): Presentation: Panel: Workshop:

Name of Confirmed Panelist/presenter:
Panelist/presenter affiliation:
Other proposed panelists/presenters: (please note if they are confirmed)
Proposed title of presentation, panel, or workshop:
Please provide brief bullet points that highlight the main topics to be covered in your presentation, panel or workshop:
Please describe proposed presentation, panel, or workshop. Abstract should not exceed 250 words.