CLINICAL EXCELLENCE & LEADERSHIP CONFERENCE 2023 SPEAKERS INFORMATION Dear Speaker,Please complete the form and upload required documents. We greatly appreciate your help!NAINA Professional Development Team Name(Required) First Last Credentials(Required) Email(Required) Phone(Required)Bio (200 words max)(Required)Photo & Bio Consent(Required) I read and agree to the following.I grant permission to NAINA Representatives and employees the right to take/use photographs of me and my Biodata. I agree that NAINA may use such photographs of me with or without my name for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I understand that NAINA retains no control of the use of any photograph that is released.Your Photo(Required)Accepted file types: png, jpg, psd, Max. file size: 20 MB.Upload your Power Point/Acceptance/Relevant Financial Relationship documents here(Required) Drop files here or Select files Accepted file types: doc, docx, jpeg, psd, png, Max. file size: 200 MB. Thank you
