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Media Registration
FAX OR EMAIL the completed form (together with media accreditation documents) to the ECCO Communication Department: Fax: +32 (0)2 775 02 00, email: [email protected]
Media Free Registration Application for the 26th EORTC-NCI-AACR Symposium on “Molecular targets and cancer therapeutics” in
Barcelona, Spain, 18-21 November, 2014
Free registration is available for bona fide media representatives. ALL media are required to enclose a copy of a recognised press card or a commissioning letter from the editor of a recognised publication when returning this form AND to present them at the conference together with valid passport or ID-card.
I will attend the EORTC-NCI-AACR Symposium in Barcelona, Spain, 18-21 November 2014. I am unable to attend the EORTC-NCI-AACR Symposium but would like to receive daily news by e-mail. I agree to abide by all the EORTC-NCI-AACR media embargoes.NB: you must agree to abide by the media embargoes otherwise your registration will be refused.
First name: .......................................................................................................................................................
Family name: ...................................................................................................................................................
Representing: ..................................................................................................................................................
Job Title: .........................................................................................................................................................
Address: ..........................................................................................................................................................
Postal code: .....................................................................................................................................................
Country: ..........................................................................................................................................................
Telephone Intl.: ...............................................................................................................................................
Fax: .................................................................................................................................................................
E-mail: ................................................................................………………………………………….………
URL/Internet address: ………………….........................................................................................................
I enclose a copy of my Press card I enclose a copy of a commissioning letter from the editor of a recognised publication
Type of publication:
Newspaper (National/Regional)* Magazine (N/R)* News Agency (N/R)* Scientific Journal (N/R)* Radio (N/R)* TV (N/R)* Website Other (please specify)………….…………………..
*Please indicate whether you are National (N) or Regional (R) media in your own countryArea: News/ Science/ Research & Development/ Health/ Other (please specify)…………….…............
Please note: Advertising, marketing and public relations staff of journals or companies are NOT eligible for free media registration. Please consult the media policy for the EORTC-NCI-AACR Symposium at www.ECCO-org.eu