As a member of the Planning Committee for the 72nd Annual Region Three Meeting, thank you for vising this page to complete your Planning Committee Disclosure Form.
To complete this form
1) Type in your first name, last name, and email address
2) Select the appropriate checkbox for the Disclosures Form and if appropriate, enter any disclosures which may exist
3) Use your finger or mouse to enter your digital signature
4) Select "Submit"