* Required

If you responded "Other" above please describe your affiliation here.​​​​​
If applicable, please list the organization you are affiliated with. ​​​
Please describe the topic(s) you wish to speak about at the meeting.​
Please list any information the board should know in order to support your visit to the meeting (i.e. translation services, large group accommodation, etc.). ​​​
Speakers are requested, not required, to submit one written copy of their comments to the board. ​​​​
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