Name of the First Author

*required information

Prefix

Mr. Dr. Mrs. Ms. Miss

First Name*

Middle Initial

Last Name*

Street*

City*

State*

AK AL AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip*

Home Phone*

Work Phone

Fax

Email*

Provide name of faculty sponsor who is responsible for ensuring that the abstract or clinical case report, if accepted, will be presented. The faculty sponsor must be a current member of GLATA. The student should be the presenter.

Name of Faculty Sponsor*

Abstracts must be received by 5:00 PM, November 15th, 2008. Abstracts received after this date will be returned.

Presenters of accepted poster free communications are expected to register for the GLATA Winter Meeting.

Click on the "Browse" button to upload your abstract. Send an electronic version only.

The file name must be "first initial last name SFC ".
Example: "tsmithSFC"

The only acceptable file types are Microsoft Word (.doc) or PDF (.pdf). Your uploaded file must be less than 2MB.

You should receive confirmation that your submission has been received within a few days. If not, please contact the GLATA Research Assistance Chair (Dr. Tom Weidner, tweidner@bsu.edu).