Grant Presentation Permission Request Form - Association of Professors of Gynecology & Obstetrics - APGO

Grant Presentation Permission Request Form

For more information, contact TransitionFeedback@apgo.org.

First Name		Last Name
Email Address
Phone Area Code		Phone
Title
Institution
Title of Requested Presentation
Intended Use (select one):	Paper Presentation Other (specify)
Other (specify)
Please describe in detail the expected audience for the paper or presentation.
Presentation/Publication Date

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