Pharmacy Benefit Management Institute (PBMI) helps industry professionals manage pharmacy benefit programs through research-based drug benefit education.

PBMI Conference Speaker Proposal

* Required Fields

User your web browser's "Print" button to print out this form at any time

Primary Contact

*Topic Title:

*Learning Objectives for Proposed Presentation (Minimum of 3):

*50-word Description of Presentation:

*Speakers:

(max 3) contact pbmi@pbmi.com if you have more than 3 speakers

Speaker #1

*First Name:
Middle Initial:
*Last Name:
Suffix:
*Job Title:
*Degrees/Designations:
*Company:
Segment:
Mail Code:
*Address:
*City:
*State/Province:	*ZIP/Postal Code:
*Country:
*Tel:	*Fax:
*Email:
*Short Speaker Bio (3 to 5 paragraphs): If you have any questions about PBMI’s Call for Speaker Presentations process, please contact us at (480) 730-0814 or pbmi@pbmi.com.

Speaker #2

*First Name:
Middle Initial:
*Last Name:
Suffix:
*Job Title:
*Degrees/Designations:
*Company:
Segment:
Mail Code:
*Address:
*City:
*State/Province:	*ZIP/Postal Code:
*Country:
*Tel:	*Fax:
*Email:
*Short Speaker Bio (3 to 5 paragraphs): If you have any questions about PBMI’s Call for Speaker Presentations process, please contact us at (480) 730-0814 or pbmi@pbmi.com.

Speaker #3

*First Name:
Middle Initial:
*Last Name:
Suffix:
*Job Title:
*Degrees/Designations:
*Company:
Segment:
Mail Code:
*Address:
*City:
*State/Province:	*ZIP/Postal Code:
*Country:
*Tel:	*Fax:
*Email:
*Short Speaker Bio (3 to 5 paragraphs): If you have any questions about PBMI’s Call for Speaker Presentations process, please contact us at (480) 730-0814 or pbmi@pbmi.com.

Pharmacy Benefit Management Institute, LP 5760 Legacy Dr., Ste B3-505 Plano, TX 75024 Ph: 480-730-0814 Fx: 480-222-4229

hosted at: ihostasp.net