Sixth Meeting of the
International Society for Maxillofacial Rehabilitation

In Cooperation with:
The Dutch Prosthetic Society
 Division of Maxillofacial Prosthetics of the Dutch Society of Tempromandibular Disorders and Prosthetic Dentistry

Abstract Form

Contents

Complete and submit the following abstract form.
You will receive a confirmation message upon submission.

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Are you a current member of the ISMR or DPS?
DPS Member (Dutch Prosthetic Society)
         Division of Maxillofacial Prosthetics of the Dutch Society of Tempromandibular Disorders and Prosthetic Dentistry

ISMR Member (International Society for Maxillofacial Rehabilitation) 

I am not a Member of either organization

Papers will be published as presented by author. Proof read and edit your paper!

Delegates are encouraged to submit abstracts for oral and/or poster presentations. Oral Presentations will be limited to available time schedule and selected based upon content and submission date.  Oral Presentations will be restricted to 10 minutes.  Delegates not selected for Oral Presentation, are encouraged to submit a Poster Presentation.

All Posters, related to session topics, will be accepted and eligible for our Poster Presentations

Poster Research Competition
Awarded to the most outstanding Research Posters presented at the meeting.

ELIGIBILITY: Author of any "Research" poster presented at the meeting will be eligible for awards.  "Case presentation" posters will not be accepted for poster awards.  Presentation authors must be present in order to receive any awards.
ADJUDICATION: Judges will review the research posters during the Poster Session.
PRESENTATION: Prizes will be awarded at the Conference Banquet (Friday, June 18th).
AWARDS: Awards and certificates will be presented to presentation author.  A cash prize of $1,500 will be awarded to the winner: $1,000 awarded to second place: $500 awarded the third place.

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Surname (Last Name):   

First Name (Given Name):   

Fill in the address you would like to receive your presentation confirmation.

University      
Department  

Street    
Suite      
City        
State/Province Country
Zip/Postal Code
Telephone (include country/city code)  
Fax       (include country/city code)

E Mail   

I am submitting an abstract for Oral Presentation? Yes No

I am submitting an abstract for Poster Presentation? Yes No
       I am submitting my "Research Poster" for Poster Research Competition Yes No  All posters submitted for Research Poster Competition... must mark "yes".  Read Poster Research Competition instructions above for eligibility.

Submission Deadline Date: April 15, 2004

ABSTRACT FORM
   Papers will be published as submitted.   Proof read and edit your paper!

Instructions:
Title of Abstract: Title of Abstract(15 words or less):
Type at top of form. Capitalize first letter of each word. Please, keep your title brief.

Author/s:
    List presenter first, followed by asterisk (*).  Type Family name first followed by initial/s.   List co-authors after presenter.  
University/Institution:
    List name of Department
    Name of Institution
    City, State/Province    Country

Abstract: Limit abstract to 350 words or less.

Example:
Tooth-Implant Connection: Biomechanical Aspects And Clinical Guidelines

Menicucci, G.*, Bassi, F., Preti, G.
Prosthodontic Department
University of Turin
Turin, Italy

Begin typing abstract......

Abstract: (250 words or less)

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Before you submit this Abstract Form

So that we may contact you... Make sure you have entered your Name, Address, Fax Number and Email Address at top of this form... then, click "Submit Form".

Submission Deadline: 
April 15, 2004

If you do not receive a confirmation message, upon submission... contact our ISMR Administration Office

If you prefer to email your abstract form... Email: [email protected]

If you prefer to mail abstract form... mail to Conference Administration Office.

Email Address: [email protected]

RES Seminars � P.O. Box 99119 � 4425 Cass St., Suite A  �  San Diego, CA 92109
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Revised: January 08, 2004