2023 International Patient Conference Registration

REGISTRATION

Welcome to the registration page for the Virtual International Patient Conference, held on September 9, 2023. The conference will be broadcast in 2 different time zones, for more information click here for the agenda.

Please complete all requested fields and click on the Submit button. Should you have any questions about the registration completion or about the Conference, please contact us by email at clfoundationevents@openaudience.com.

Contact Details

Title

First Name

Last Name

Organization (if applicable)

Address Country

Email Address

Verify Email Address

Confirm Your Registration

Central European Time Registration FULL

Pacific Time Registration FULL

What is your relationship to cutaneous lymphoma?

I have cutaneous lymphoma

A family member or friend has cutaneous lymphoma

I am a health care provider

I am an industry representative

Other

If 'Other', please specify

How did you originally hear about the 2023 International Patient Conference?

Internet search

Friend/Family member

Physician, nurse or other medical professional

Staff member within the Foundation

Other

If Other, please specify

Is this your first time attending this conference?

Yes

If you have any question you'd like us to address at the Conference, please submit here:

Data Processing Consent

I give consent that Cutaneous Lymphoma Foundation and its designated agents may store my personal data and use this to facilitate my participation in this/these virtual event(s). If you do not check this box, we are unable to process your registration for this conference.

I give consent

option required

Cutaneous Lymphoma Foundation may send me details of other events which may be of interest to me

I consent

I do not wish to receive notifications

Networking Sessions

During the event you will have the chance to speak to and network with other attendees. We have asked you to indicate your native language below because if there are enough attendees with the same language, we may be able to facilitate language-specific networking sessions.

Important: Kindly note that all networking sessions during the Virtual International Cutaneous Lymphoma Patient Conference are intended for patients and family only and will not be recorded.

What is your native language?

Thank You

Thank you for registering for the Virtual International Patient Conference. You will receive an email confirming your registration.

Should you not receive this confirmation, please check your junk mailbox in the first instance or contact the meeting secretariat at email: clfoundationevents@openaudience.com.

If you would like to join our mailing list to receive e-news and other news publications please CLICK HERE to sign up.