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Multi-Zonal Service Symposium  
PO Box 700192  - Dallas, TX 75370

Multi-Zonal Service Symposium Workshop Proposal
  1. Name
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  2. Area or Region
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  3. Email
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  4. Phone
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  5. Clean Date
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  6. Describe the workshop you would like to present; the title, a short summary that we could put in the program, the objectives (what attendees will learn or be able to do after attending) and a high-level outline of what you plan to present. Some or all of this may change between now and the symposium. We're just looking for your ideas today.
  7. Workshop Name
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  8. Learning Track(s)


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  9. Summary
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  10. Objectives
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  11. Outline
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  12. Tell us about your yourself. What experience in NA service or anywhere else, makes you uniquely qualified to present this workshop?
  13. Short Biography
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  14. If you have a file that you would like us to take a look at, like an audio file, PowerPoint presentation, or a handout, please attach it here.
  15. Maximum 10MB
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  16. Please let us know if you are willing to help out at the symposium.
  17. I am willing to



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  18. If there's something else in particular that you'd like to do, let us know.
  19. Something Else
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  20. Enter the letters(*)
    Enter the letters
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