Sample Form

Session Participants

Please check one: ____Written Paper ____ Oral Only ____ Panelist

Paper Title:____________________________________________
________________________________________________

Presenting Author/Speaker:
This person will give the talk in the session room and receive all SAE correspondence. His/her name will appear first in the program listing.

Presenting Author/SpeakerCo-Author (1)
Name___________________ Name___________________
Job Title________________ Job Title________________
Div./Dept._______________ Div./Dept._______________
Company_______________ Company_______________
Street_________________ Street_________________
City_____________________ City_____________________
State___________________ State___________________
Postal Code______________ Postal Code______________
Country________________ Country________________
Phone__________________ Phone__________________
Fax____________________ Fax____________________
Co-Author (2)Co-Author (3)
Name__________________ Name__________________
Job Title_______________ Job Title_______________
Div./Dept.______________ Div./Dept.______________
Company_______________ Company_______________
Street__________________ Street__________________
City____________________ City____________________
State__________________ State__________________
Postal Code_____________ Postal Code_____________
Country__________________ Country__________________
Phone__________________ Phone__________________
Fax____________________ Fax____________________
**Please add extra sheets as required for additional co-authors.**

V.B Atachment 3