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Registration for the Global Virtual Cancer Conference

November 2 - 5, 2022

First Name *

Last Name *

Email *

Confirm Email *

Which best describes you? select all that apply

Patient/Survivor

Caregiver

Family Member/Friend

Advocate

Healthcare Provider

Healthcare Industry

Accommodations required

?

We will have closed captioning for all sessions and embedded captioning for all videos presented.

All sessions will also be translated in Spanish.

Additional accommodations, ASL, and other translation services are available upon request.

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Page 2 of 3

Registration for the Global Virtual Cancer Conference

November 2 - 5, 2022

Would you like a subscription to CURE Magazine?
US and Canada only. Whether you're new to treatment, finished with treatment, a long-term survivor or caring for someone with cancer, CURE Magazine is a free subscription delivered to you

Yes

Address

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Race select all that apply

American Indian or Alaska Native

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White or Caucasian

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Page 3 of 3

Registration for the Global Virtual Cancer Conference

November 2 - 5, 2022

Add another diagnosis

Through shared voice and experience, we also work to advance science. One of the ways we do this is through the integration of your experience and knowledge into improving quality of life and health outcomes in cancer care. Would you like to opt in to receive notices of relevant compensated research projects that meet your experience?

Yes I'm interested in research

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