Pharmacists Manitoba Conference
Please do not provide any personal information such as credit card number, date of birth to this form
Mandatory for all student submissions.
I certify that my presentation(s) will not suggest or otherwise endorse the use of any product or service. I understand that should I mention a particular product or service, I would clearly state that said item is not endorsed by the Pharmacists Manitoba Conference, nor is its use required by any of the attendees of my presentation.