British Lymphology Society

Title of Paper / Poster Category under which submitted

Research

Audit

Case Report

Service Development

Educational Initiatives

Literature Review

Other Please Describe

Name of presenter(s).
If there is more than one person presenting at the conference, please put the names in the order in which you would like them to appear on the schedule. Address Job Title Email Address Phone No

Type of presentation preferred
Please tick one or both if you are willing to do either

Verbal Presentation

Poster Presentation

Audio Visual Aids Required(please tick as appropriate)
Please note there will be power points

Slide Projector

Flip Chart

Other Please state

Add Abstract Abstracts should be limited to 350 words in Times new Roman, 11 font and 1.5 line spacing. Deadline for submission: 12th June 2009

I agree to present this paper at whatever time it is scheduled within the conference programme and also to pay in advance either the full conference fee / the fee for the day on which I am scheduled to deliver the presentation.