Exhibitor/Sponsor Registration Register here Contact us Thank you for your support of this valuable Oncology Meeting. You can only register if your company has sponsored the 2019 UK Oncology Forum. Unfortunately we cannot accept individual commercial registrations from non-sponsoring organisations. Title*MrMrsMissMsDrProfessorForename*Surname*Job title*Email address* Enter Email Confirm Email Mobile number*Company name*Company address*Please confirm which dates you will be attending? Dates Attending*Thursday 13th & Friday 14th (both days)Thursday 13th June (Day one only)Friday 14th June (Day two only)Do you require Athena to arrange accommodation on your behalf?*NoYesAccommodation for the UK Oncology Forum has been blocked booked. ALL accommodation must be booked through Athena Meetings & Events. Athena will invoice your company directly, as this is an additional charge. NO shows and cancellations will be non-refundable and will be charged for. Please ensure that you settle any extras on departure. Rooms will be allocated on a “first come, first served basis”.CREDIT CARD DETAILSPlease provide your credit card details. You will ONLY be charged for your accommodation and subsistence if you have SELECTED THAT YOU REQUIRE ACCOMMODATION ON THURSDAY 14th JUNE 2018, and DO NOT STAY or if you CANCEL AFTER 17.05.18. Please note information you add to this field and send to us is fully encrypted on this website via https (SSL) and is FULLY SAFE. Contact us if you have concerns or queries regarding this.Full Name as shown on your credit card*Credit card number*Expiry Month*Please enter a value between 01 and 12.Expiry Year*Please enter a value between 17 and 27.Security Code (last 3 digits on your card)*Please enter a value between 000 and 999.CANCELLATION POLICYPlease tick the following box to confirm you agree to these terms and conditions. TERMS & CONDITIONS* Yes I agree to the terms & conditions Will you be attending the conference dinner?*YesNoDepending on your package this will be charged at £50 per headDietary requirementsSpecial requirementsWorkstream ChoicePLEASE SELECT A DIFFERENT CHOICE ON DAY ONE AND DAY TWO. THE SESSIONS ARE REPEATED TO DIFFERENT AUDIENCES PER DAY.Thursday 13th June 2019 14:30hrs ~ 17:30hrs Workstream Choice Thursday Workstream Choice*BASO PAN TUMOUR SURGICAL SESSION (DAY ONE ONLY)BLADDER & KIDNEY JOINT SESSIONBREASTCOLORECTAL CANCERGYNECOLOGYLIVER CANCER (UPPER GI)LUNGMELANOMAPROSTATERADIOTHERAPYUKONS – DAY ONE ONLYHOW TO ENGAGE AND WORK WITH PRIMARY CARE IN CANCER?Friday 14th June 2019 08:45hrs ~ 12.15hrs Workstream Choice Friday Workstream Choice*BLADDER & KIDNEY JOINT SESSIONBREASTCOLORECTAL CANCERGYNECOLOGYLIVER CANCER (UPPER GI)LUNGMELANOMAPROSTATERADIOTHERAPYTREATING THE OLDER CANCER PATIENT (DAY TWO ONLY)UKOMIC (Oral Cancer Care) – DAY TWO ONLYHOW TO ENGAGE AND WORK WITH PRIMARY CARE IN CANCER?COMPLIMENTARY WORKSHOP FOR INDUSTRY SPONSORS ONLY Friday 14th June 2019 @ 09:15hrs ~ 10:15hrs (details to follow) Do you wish to attend the workshop?*YesNoWorkshop information Friday 14th June 09:30am ~ 10:30am Subject “Risk and Uncertainty in Medicine” PROFESSOR DAME LESLEY FALLOWFIELD DBE, BSc, DPhil, FMedSci Dame Lesley Fallowfield is Professor of Psycho-oncology at Brighton & Sussex Medical School, University of Sussex where she is Director of the Sussex Health Outcomes Research & Education in Cancer (SHORE-C) group. Dame Lesley originally trained as a nurse at Guy’s Hospital, London but then did a BSc in Experimental Psychology at Sussex. Research for her doctorate examining the perceptual correlates of optic nerve damage in demyelinating diseases was completed at the Universities of Sussex and Cambridge. In 1991 she became the full-time Director of a Psychosocial Oncology Group and was awarded the first European Chair in Psycho-oncology from University College, London in 1997. Her research interests are wide and include the measurement of quality of life in clinical trials of cancer therapy and the training of communication skills for health care professionals in cancer. She has published over 400 papers, many book chapters and 3 text books. She lectures and runs training workshops throughout the world in psychosocial oncology, quality of life assessment and communication skills. In 2008 she was made a Fellow of the UK Academy of Medical Sciences and in 2016 a Dame Commander of the Order of the British Empire in the New Year Honours.PhoneThis field is for validation purposes and should be left unchanged.