1. Issue Panel Submission Form

Please complete the following information.

The deadline for submission of Issue Panels proposals is Tuesday, 1 February 2022 at 11:59 PM CET. 

If you have any questions regarding submission, please email SMDM at info@SMDM.org.

Question Title

* 1. Issues Panel Title:

Question Title

* 2. Description of proposal (400 words or less):

Question Title

* 3. Format (150 words or less):
Describe the format for presentation

Question Title

* 4. Course Director:

Question Title

* 5. Any financial Disclosure

Question Title

* 6. Moderator 1:

Question Title

* 7. Any financial Disclosure

Question Title

* 8. Moderator 2

Question Title

* 9. Any financial Disclosure

Question Title

* 10. Panelist 1

Question Title

* 11. Any financial Disclosure

Question Title

* 12. Panelist 2

Question Title

* 13. Any financial Disclosure

Question Title

* 14. Panelist 3:

Question Title

* 15. Any financial Disclosure

Question Title

* 16. Panelist 4:

Question Title

* 17. Any financial Disclosure

T