Registration Form: EONS13 at ESMO Virtual Congress 2020

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome to the EONS13 registration page.

Remember when you are filling in this form to provide us with:

a. EONS Individual Membership number with free registration 0€ , or

b. Name of your National Society or Associate Membership name and ESMO will contact you for a payment of 53.85€, or

c. If you are not an EONS member as identified in (a) and (b) above, ESMO will contact you for a payment of 236.94€.

Email *

First Name: *

Last Name: *

Registration category: *

Registration Details (EONS Membership Number/ Name of the Society/ type NA for non EONS-Members): *

Healthcare qualification: *

The institution or organisation of your primary place of work: *

Street Address: *

City: *

Postal / Zip Code: *

Country: *

Your mobile phone number (including country and area code or prefix): *

Acceptance of Terms and Conditions: The ESMO Meeting Registration Terms and Conditions (the “Terms”- https://www.esmo.org/terms-of-use/Meeting-Registration-Terms-Conditions) apply to all participants of any organised or co-organised meeting (symposium, course, conference or congress) by The European Society for Medical Oncology (ESMO) and Third-Party Partners, hereinafter referred to as “the Conference Organisers.” *

By ticking this box, you confirm that you have read the ESMO Meeting Registration Terms and Conditions and agree that the organisers use your data, image and voice collected within the context of the event, as described.

Required

Acceptance of the member checking and data share between ESMO and EONS. *

Yes, I accept that data will be shared between EONS and ESMO in accordance with the policies given in the links above.

Required

EONS is compliant with the General Data Protection Regulation of the European Union (Regulation (EU) 2016/679). The data provided here will be used solely for processing the enquiry or application detailed on this form. If you would like EONS to continue to handle your data for such purposes as receiving the EONS email newsletter or being contacted about future events or activities, please tick this box: *

I consent to EONS retaining my personal data for activities such as receiving the EONS email newsletter and being informed of future events and activities.

I do not want to receive the EONS email newsletter or be informed of future events and activities.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms