CLICK HERE TO SEE THE AZM CONFLICT OF INTEREST POLICY By signing below I certify that: AZM Conflict of Interest Annual Disclosure Statement 1. I understand and agree to comply with the Constitution of the American Zionist Movement regarding Conflict of Interest. 2. Neither I nor, to the best of my knowledge, any of my Immediate Family has, during the past 12 months, been involved in, or anticipate at any time in the future becoming involved in, any activity or circumstance that constitutes a Conflict of Interest, except as specifically described below:Fully describe any Conflict of Interest involving you or your Immediate Family member(s). If "none", so state. * If additional information must be provided please send it to azm@azm.org Fully describe any facts or circumstances that you wish reviewed in order to determine whether or not such facts or circumstances constitute a Conflict of Interest according to Article XI of the AZM Constitution. If "none", so state. * If additional information must be provided please send it to azm@azm.org 3. In the last five years I have not been convicted of a crime. * True False 4. The name and address of my principal business or occupation is: * 5. Type of business or occupation: * First and Last Name * Email * Organizational Affiliation * Signature * signature keyboard Clear Date * Submit If you are human, leave this field blank. Δ
