TALK OR POSTER SUBMISSION FORM

"*" indicates a required field I. Authors and affiliations (check the ASIC presenter):
1.	First Name*:          Last Name*: Presenter*: Yes          No Affiliation*: Email*:
2.	First Name:          Last Name: Presenter: Yes          No Affiliation: Email:
3.	First Name:          Last Name: Presenter: Yes          No Affiliation: Email:
4.	First Name:          Last Name: Presenter: Yes          No Affiliation: Email:
5.	First Name:          Last Name: Presenter: Yes          No Affiliation: Email:
6.	First Name:          Last Name: Presenter: Yes          No Affiliation: Email:
II. Title*:
III. Abstract* (limit 250 words):
Preferences for talks, posters, or neither:
	Preference (check one)*: Talk         Poster         Neither         I am willing to give a poster if required*: Yes          No I am willing to forego a presentation of any kind*: Yes          No
Note: If you have difficulties in using this submitting form, please contact Fang Fang for assistance.