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TITLE Presenter Name Institution Country

DISCLOSURES Commercial Interest Relationship(s) A commercial interest is defined as: any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. If you do not have any relationships with commercial interests to disclose: Delete the table from your slide Include this statement on your slide: I do not have any relevant financial relationships to disclose. If you do have relationships with commercial interests to disclose: Complete the table by listing the name of each commercial interest in the first column, followed by the nature of the relationship(s) in the second column. (See example below) Resize fonts and add rows, as needed, to fit the information into the table format Examples of relationships include: Consultant, Speaker’s Bureau, Advisory Board, Ownership or Stock Interest, Employment, Honorarium, Financial Support from Tobacco Company(ies), Contracted/Support Research Grant, Royalty, Intellectual Property/Patient Holder Example: Commercial Interest Relationship(s) Roche: Speaker’s Bureau, Consultant BMS: Honorarium, Advisory Board,Consultant Pfizer: Contracted Support/Research

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