Proposal Form

Proposal Form
American Association of Pharmaceutical Scientist
Share Your Expertise

Electronic Education Course Proposal Form

Please print, complete, and FAX / mail to the address shown below

Suggested Course Title:
Your Name:
Organization:
Address:
Address:
City, State, Zip:
E-mail:
FAX:
Work Phone:
Target Audience/Sections:

Course Objectives:

Course Outline:

Please FAX or mail this form to:

AAPS Scientific Affairs Dept - Attn: Andrew M Cohn
FAX = (703) 243-9650
2107 Wilson Blvd, Suite 700, Arlington, VA 22201-3046

Suggested Course Title:
Your Name:
Organization:
Address:
Address:
City, State, Zip:
E-mail:
FAX:
Work Phone:
Target Audience/Sections:
Course Objectives:
Course Outline: