ONS Registration

ONS Spring 2009 Symposium Registration

Please complete the registration form below. Items preceded by an asterisk (*) must be filled in. Please note that you can register for more than one symposium by checking the appropriate boxes.

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*Please register me for this symposium:

Hematology/Oncology Tumor Board: Challenges in Nursing Management of Emerging Therapies for Hematologic Malignancies

*First name:

*Last name:

Credentials:

Institution/organization:

*Address (line 1):

Address (line 2):

Residence Employment

*City:

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If outside the US, please list postal code.

Phone:

Fax:

E-mail address:

E-mail notification:

I would like to be reminded of my RSVP via email.

I would rate my level of knowledge about MDS and current treatment options as:

	Know very little
	Comfortable with the basics, but interested in learning more
	Very comfortable about MDS and interested in getting recent updates

I would rate my level of knowledge about MM and current treatment options as:

	Know very little
	Comfortable with the basics, but interested in learning more
	Very comfortable about MM and interested in getting recent updates

I am hoping to learn the most about:

	Side effect management
	Drug administration
	Latest trends in treatment strategies

Topics for future programs:

MEI recognizes the importance of the Americans with Disabilities Act (ADA). If you have special needs, please contact us at least 3 weeks prior to this activity, and we will make a reasonable effort to accommodate your needs.