First and last name of person submitting form (this will not appear in the journal announcement):

Email address of person submitting form (this will not appear in the journal announcement):

The first and last name of a contact person whom people can get in touch with for further information:

The email address of the contact person:

The title of the presentation and/or event:

First presentor's first and last name:
bio/description:

Second presentor's first and last name:
bio/description:

A description of the event (200 character max):

Date of event:

Time event begins:

Location of event (Address, City, State):

Upon approval, the event, as described above, will be announced in the journal, free of charge.