UMEC 2022 Bio and Disclosure Upload

  • Please complete this information exactly as you would like it to appear in meeting materials.
  • Max. file size: 50 MB.
  • 2022 Speaker Disclosure Statement

  • Do you have any potential conflicts of interest to disclose? If so, please list them here including Company Name, Relationship and whether it is self/spouse/partner. If you have nothing to disclose, type NONE in the text box.
  • By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this disclosure statement.