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Macmillan Rural Cancer Symposium

Page 1

Thank you for your interest in attending the Macmillan Rural Cancer Symposium taking place on 16th June 2026 at the Metropole Hotel in Llandrindod Wells, Powys from 10am until 4pm. Please can you complete this form to book your place.

Question 1.

Title (Mr / Mrs / Ms / Dr / Professor etc)

*
Question 2.

First Name:

- Required.
*
Question 3.

Surname:

- Required.
Question 4.

Please confirm your role (if attending in a professional capacity):

Question 5.

Please confirm your employer / the organisation you are representing (if applicable):

*
Question 6.

Email address:

- Required.
Question 7.

Contact telephone number (optional):

*
Question 8.

Please confirm if you have any special dietary requirements:

- Required.
*
Question 9.

Please confirm if you have any accessibility requirements:

- Required.
Question 10.

Any other comments or requests: