Abstract Submissions Lead Applicant Title - Select -MrsMsMrDrProfessorProf. Dr.Associate Professor First Name Last Name Phone Number Email Professional role - Select -Clinical OncologistDoctor/ProfessorGPLung Cancer Specialist NurseMedical OncologistNon-clinical rolePalliative Care ConsultantPalliative Care NursePathologistPatientPrimary Care NurseRadiologistRespiratory PhysicianThoracic SurgeonOther allied healthcare professionalOther Other Professional Role Job Title Trust / Organisation Name Abbreviated Name Abstract Title of topic Abstract Conflict of Interest Please declare any conflicts of interest of the author(s). If none, state None. Would you be willing to give a short oral presentation at the conference? Yes No Would you be prepared for your contact details to be included in a published report? Yes No Would you be prepared to be a facilitator or a scribe for a breakout session at the meeting? Yes No Submit
