IWC Presenting Author’s Information Form

Presenting Author Contact Information
Name
First Last Suffix
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone (xxx-xxx-xxxx)
Fax (xxx-xxx-xxxx)
Author Email
Co-Author Information

1st Co-Author Contact Information (if needed)
1st Co-Author Name
First Last Suffix
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone (xxx-xxx-xxxx)
Fax (xxx-xxx-xxxx)
Email
2nd Co-Author Contact Information (if needed)
2nd Co-Author Name
First Last Suffix
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone (xxx-xxx-xxxx)
Fax (xxx-xxx-xxxx)
Email
3rd Co-Author Contact Information (if needed)
3rd Co-Author Name
First Last Suffix
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone (xxx-xxx-xxxx)
Fax (xxx-xxx-xxxx)
Email
3rd Co-Author Contact Information (if needed)
4th Co-Author Name
First Last Suffix
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone (xxx-xxx-xxxx)
Fax (xxx-xxx-xxxx)
Email
Paper Information
Paper Title
Please enter your Abstract, 75 words or less

Engineers' Society of Western Pennsylvania