REGISTRATION FORM

Please register for this event using the form below. Fields marked with an asterisk* must be completed.

This event is free to attend.

Note: if you have difficulty using this online form, e.g. if it does not appear correctly on your screen, you can download a printable/editable version here - download form (MSWord document)

Delegate 1

TitleMrMrsMsMissDrProf

First Name*

Last Name*

Position*

Department

Telephone*

Mobile

Fax

Email*

Delegate 2 (optional)

TitleMrMrsMsMissDrProf

First Name

Last Name

Position

Department

Telephone

Mobile

Fax

Email

Organisation Details

Organisation/Company*

Address line 1*

Address line 2

Address line 3

City/Town*

County/Region

Postcode/Zip*

Country*DenmarkFinlandIcelandNorwaySwedenUnited KingdomOther

Brief profile of your organisation (Note - 250 word limit!)

Business and/or Partnering aims

I/we would like to participate in online 1:1 partnering at this event (please check the box)

Delegate 1
Delegate 2

Please retain my details and contact me about future opportunities in UK Trade & Investment's
      UK-Nordic Oncology Initiative

All reasonable steps will be taken to ensure that the contents of this form are treated as confidential. Your details will not be passed to third parties without your permission, but may be stored by UK Trade & Investment and BioPartner.co.uk for statistical purposes and to contact you for relevant information and feedback.