Application Deadline: Friday, September 6, 2019

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* 1. Primary Contact for Entry

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* 2. Organization Name:

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* 3. Address:

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* 4. City, State, Zip:

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* 5. Presentation Title:

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* 6. Summary of your presentation, including its relevance to the multidisciplinary cancer care team and/or the broader oncology community. (750 words or less).

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* 7. Identify your top three takeaways below.

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* 8. Please provide the name, credentials, and a one-paragraph biography for the individual who would present.

Terms of Agreement

By submitting this form, you agree to meet all posted dates and deadlines.

Completed entry forms may be submitted via:

1. Mailed to the Association of Community Cancer Centers (ACCC), Attn: ACCC 46th Annual Meeting and Cancer Center Business Summit, Monique J. Marino, 1801 Research Blvd. Suite. 400, Rockville, MD 20850

2. Faxed to ACCC at 301.770.1949, Attn: Monique J. Marino

3. Emailed to ACCC via accc_meetings@accc-cancer.org

Thank you for your entry. You will be notified by September 30, 2019, on the status of your submission. If you have any questions about the application process, please contact Emma Ferraiuolo at eferraiuolo@accc-cancer.org, or call 301.984.9496, ext. 227.

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