IANR – International Association of Neurorestoratology

2-4 October, 2018

New Brunswick, New Jersey USA

NOMINATIONS FOR SPEAKERS AND PANELS

DUE TO THE SNOWSTORMS IN NEW JERSEY, THE DEADLINE FOR NOMINATIONS FOR SPEAKERS AND PANELISTS HAS BEEN EXTENDED TO APRIL 30^th.

NAME OF NOMINATOR

Name:     Title:  

Institution:  

Email Address  

NOMINATION FOR KEYNOTE OR PLENARY SPEAKER

Name:     Title:  

Institution:  

Email Address  

NOMINATION FOR A PANEL (Please list all panelists)

Title/Subject of Panel:  

Panel Participants

Name:     Title:  

Institution:  

Email Address  

Name:     Title:  

Institution:  

Email Address  

Name:     Title:  

Institution:  

Email Address  

SEND, FAX, or EMAIL THIS COMPLETED FORM

Mail:  IANR 2018

W. M. Keck Center for Collaborative Neuroscience

604 Allison Road, D-251

Piscataway, New Jersey  08854-8082 USA

Fax:  732.445.2061   Email:  IANR2018US@gmail.com

QUESTIONS?  Please call (848) 445-2061 or email IANR2018US@gmail.com