Abstract format

Abstract Submission Template

*Abstract Title:
(Use sentence case, i.e. capital letter only on 1st word and proper nouns)


Presenting Author:
The Presenting Author will receive all correspondence from PER® and must be one of the co-authors listed on the submitted abstract. By submitting an abstract to the conference, the presenting author assumes responsibility for the following: *Name:


*Title/Affiliation:


*Email address:


*Phone number:


*Financial Disclosure
NO Financial Relationships to Disclose
Neither I, the undersigned, nor my spouse or domestic partner, have had within the past 12-months, financial relationships with commercial interests that are relevant to the content for which I am responsible.
Financial Relationships to Disclose
I, the undersigned, and/or my spouse or domestic partner, have had within the past 12-months, financial relationships with commercial interests that are relevant to the content for which I am responsible. Below is a listing of the commercial interest(s):

Grant/Research Support:

Consultant:

Speaker's Bureau:

Stock/Shareholder:

Other (please specify):


First Author (if different from presenting author):
Name:


Title/Affiliation:


Email address:


Phone number:


Financial Disclosure
NO Financial Relationships to Disclose
Neither I, the undersigned, nor my spouse or domestic partner, have had within the past 12-months, financial relationships with commercial interests that are relevant to the content for which I am responsible.
Financial Relationships to Disclose
I, the undersigned, and/or my spouse or domestic partner, have had within the past 12-months, financial relationships with commercial interests that are relevant to the content for which I am responsible. Below is a listing of the commercial interest(s):

Grant/Research Support:

Consultant:

Speaker's Bureau:

Stock/Shareholder:

Other (please specify):


Co-Author(s):
Please provide the name, title, affiliation and disclosure of each co-author.



*Abstract
Abstracts should not exceed 2,500 characters (body of the abstract, including spaces and table), Arial 12 pt. Abstracts should be structured in such a way as to include the following 4 sections: background, materials and methods, results and conclusions.


* So we can correct any technical glitches that may occur during upload related to special characters, please upload either a Word or PDF version of your abstract. Please note: This is for reference purposes only if needed. The reviewers will only be provided with what has been submitted via the abstract submission portal fields.

* Required Fields