Skip to the content
Please enable JavaScript in your browser to complete this form.
Topic: Meet the Experts: Antibody-Drug Conjugates in Breast Cancer – Views of Today and the Future Date: Sunday, 22nd Oct 2023 Time: 07:00–08:30 CEST (UTC+2) Venue: Novotel Madrid Campo de las Naciones, Madrid, Spain (https://goo.gl/maps/PHahfWBX2p2DPCpt8) Virtual platform: Zoom
(*) Mandatory field
Title
[Please Select]
Professor
Doctor
Mr
Ms
Mrs
First Name:
*
Last Name:
*
Email Address:
*
Mobile Number:
Hospital / Institution / Company:
*
Specialty:
*
[Please Select]
Medical Oncologist
Surgical Oncologist
Radiologist
Pathologists
Primary Care Physician
Nurse
Other
Other Specialty, please specify:
*
Country:
*
[Please Select]
Brazil
Thailand
China
Hong Kong
Japan
Taiwan
Korea
Australia
Singapore
Mexico
India
Egypt
Argentina
Chile
Panama
Russia
Other
Other Country:
*
Physician’s Registration Number (Optional):
Would you like to attend the meeting in-person or virtually?
*
In-person
Virtually
* Due to the limited availability of seats onsite, you will be notified by email whether your in-person attendance has been confirmed. If in-person attendance is full, you will receive the details to join virtually.
As we cannot guarantee last-minute transport arrangements to the venue, we are able to reimburse your transfer expenses upon receiving the corresponding receipt and your bank details.
By submitting your registration, you agree for Daiichi Sankyo/AstraZeneca (collectively referred to as ‘DS/AZ’) and its related corporations and/or third-party service providers – MIMS, event organizer on behalf of DS/AZ to collect, store and/or process your personal data for the purpose of the live webinar. Please see our Privacy Policy below for details: Daiichi Sankyo Privacy policy: https://www.daiichisankyo.com/data_protection/ AstraZeneca Privacy policy: https://www.globalprivacy.astrazeneca.com/ MIMS Privacy policy: https://www.mims.com/Privacy
Submit
