ABSTRACT INFORMATION SHEET

The Academy of Aphasia 42nd Annual Meeting

October 17- 19, 2004

Chicago, Illinois, USA

Please return one information sheet for each submission

TITLE OF ABSTRACT:

AUTHORS (list names and mailing addresses of all authors):

CORRESPONDING AUTHOR (include email address or a typed mailing label for each submission if you prefer to be notified by surface mail):

Name:    

Address: 

Phone:          Fax:       Email:

____  PLEASE INDICATE IF THE FIRST AUTHOR IS A STUDENT AND WISHES TO BE CONSIDERED FOR THE STUDENT PAPER AWARD.

FORMAT PREFERENCE (we cannot guarantee to honor preferences, but we will try):

____  Poster session preferred                                         

____  Platform session preferred

____  Symposium preferred, but platform or poster session for individual papers otherwise

____  Only poster session acceptable

_____ Only platform session acceptable

____  Only symposium acceptable

____  No strong preference

TIME REQUIRED (platform papers and symposia): The standard time allotment for platform papers is 15 minutes for presentation and 15 minutes for discussion. Symposia usually contain no more than 4 papers respecting the same time allotment, along with some time for introduction and general discussion. Total time for Symposia is between 2 and 2 ¼ hours.

AUDIO-VISUAL EQUIPMENT NEEDS:

____  Digital projector (e.g., Powerpoint) ____  Slide projector (2 inch slides)    ____  Overhead projector      ____  Other (please specify as precisely as possible, and we will try to accommodate):