PNS Teaching Course Application

Thank you for submitting a PNS Teaching Course Application. Your form is currently being reviewed. Please contact info@PNSociety.com if you have any questions.

First Name: *

Last Name *

E-mail Address: *

Are you a current member of PNS? *

Type of Events: *

Title of Congress: *

Congress Dates: *

Mission statement, purpose, or function of the organization’s event *
(Maximum characters: 2000)
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Suggested Speakers Please indicate if they are members of the PNS and their affiliation. *
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Suggested Topics:
(Maximum characters: 2000)
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Financial Support: *

Important Deadlines: *

Additional Comments:

Fields marked with * are required.

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