Request a Speaker - ON DPG
Oncology Nutrition DPG can help you identify speakers based on geographic location, topic of expertise and availability. Please complete this form to provide us some information on your organization's needs for a presentation related to oncology nutrition, and we will contact you with some suggested speakers.
Contact Person Name
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Contact Person Email
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example@example.com
Contact Person Phone Number
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Organization Name
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Organization Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the presentation in person, virtual, or hybrid?
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In Person
Virtual
Hybrid
Please provide the city, state, and venue (if available) for the presentation.
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Please provide the date or date range for the presentation.
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How long would you like the presentation to be?
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(i.e., 45 minutes followed by 15 minute Q&A session)
What topic are you interested in having someone present?
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Who will be the audience for this presentation? (e.g. lay audience or professional MDs, RDNs, RNs, Social Workers)
What is the expected audience size?
Please provide any additional details related to your request for assistance in identifying a speaker to present on oncology nutrition.
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