Are you the main contact for this organization for general questions?
Yes - I am the best person for people to contact about the organization
No - I am only submitting the organization, but not the best person for people to contact.
Your full name
*
First Name
Last Name
Your Email
*
example@example.com
Your Phone/WhatsApp
Please enter a valid phone number.
Format: (000) 000-0000.
Main contact full name
*
First Name
Last Name
Main contact Email
*
example@example.com
Main contact Phone Number/WhatsApp
*
Please enter a valid phone number.
Format: (000) 000-0000.
Main contact role
Name of organization
*
in English
Name of organization
Native language, if different
Type of organization
*
Please Select
Society
Association
Consortium
Working Group
Network
Club
Other
What type of organization?
*
Year Founded
Membership Size
(< 25 / 25-100 / 101-300 / > 300)
Organization Website
Does your organization primarily serve or base its activities in…
A single country
A multi-country region (e.g., West Africa, Nordic Countries, Europe)
International/Global
Multi-Country Region
*
Please define your region
Country
*
Main Focus Areas
*
Please Select
Retinoblastoma
Uveal Melanoma
Surface/Oculoplastics
General Ocular Oncology
Other
Brief Description
*
0/500
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Public Listing Consent
Yes – list my details: Your organization’s name, website, country/region and the MAIN CONTACT name + e-mail you provided will appear in the public ISOO directory.
No – keep e-mail private: Your organization will still be shown in the directory, but the contact e-mail (and phone, if supplied) will be hidden. ISOO will store it internally so we can forward enquiries to you if needed.
Are there any other comments you need to share? This information will not be included on the website but can be used to add context, questions or comments about the ISOO listings, if needed.
SUBMIT
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