Texas Tech Cancer Research Symposium • March 30-31, 2007

Thanks for your interest in attending the Texas Tech Cancer Research Symposium. Please complete the following questions to RSVP for the meeting.

1) Last Name

2) First Name

3) Degree

6) Department

8) Address

9) Mail Stop

10) Zip Code

11) E-Mail Address

12) If you have previously received funding from a Cancer Seed Grant, please give the project title and funding dates.

13) Please check all that apply:

I would like to give a 10-minute oral presentation
I have a poster that I will display at the reception

14) Oral Presentation Title:

15) Poster Title:

16) Please paste an abstract of up to 250 words in the space below:

17) If you are coming from Amarillo, El Paso, or Odessa, will you need a hotel room for Friday night, March 30?

Yes
No

18) Suggestions of other TTU, TTUHSC or UMC personnel who might be interested in the Cancer Research Group activities:

Name, department & e-mail address
Name, department & e-mail address

19) Other comments or requests?

Thanks for your interest. If you have any questions about this form, please contact Dr. Betsy Jones at betsy.jones@ttuhsc.edu or 806-743-1100 x233.

We will contact you as soon as possible to confirm your attendance at this meeting.

Conference Directors: Simon Williams & Betsy Jones