FORM FOR ALL SUBMISSIONS

FORM FOR ALL SUBMISSIONS

Seventh Annual Meeting, July 20-22, 2001

The Velo-Cardio-Facial Syndrome Educational Foundation, Inc.


TITLE:

SUBMITTED BY (underline person presenting):

TYPE OF PRESENTATION (check appropriate category):

Professional Paper _____           Professional Seminar _____         Clinical case presentation _____

Lay Presentation: Sharing the Good Times _____      Lay Presentation: Helpful Hints _____      

Other (describe) _________________________________________________________________

ADDRESS: _____________________________________________________________________

TELEPHONE: _________________   FAX: ____________________  E-mail: _______________________

TIME REQUESTED FOR PRESENTATION:

AUDIOVISUAL EQUIPMENT REQUIRED (standard equipment will be a computer with LCD projector, VHS VCR, and single slide projector):

Type or print the abstract (without title or authors) in the space provided below. Submit 3 copies, postmarked by May 1, 2001. Mail to Dr. Robert J. Shprintzen at:

Center for the Diagnosis, Treatment, and Study of Velo-Cardio-Facial Syndrome, Jacobsen Hall 714, Upstate Medical University, 750 East Adams St, Syracuse, NY 13210 USA.

Abstracts may also be faxed (1 copy) to 315-464-5321 or emailed to [email protected] by May 1st.