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NOCIA Speaker Application
Apply here to speak at our next NOCIA conference
Full Name
*
Email Address
*
Credentials
RDCS/RCS
ACS
FASE
OTHER
Years as Registered Sonographer
*
Place of Employment
*
Current Position
Are you a current member of NOCIA?
*
Yes
No
Describe your presentation
*
Full Presentation (45 min)
Case Study (10-15 min)
Title of Presentation
Summary of Presentation
*
Speaking Experience (Last 5 Years) List Organization, Date, and Title of Presentation
