Registration

Step 1 of 11

How would you like to participate at CML Horizons 2025?(Required)

In-person

Virtually

You are registering as(Required)

CML Advocates Network member

Steering committee member

Speaker

Representing a sponsor

Two

IN-PERSON REGISTRATION FORM - CML Advocates Network member

Are you (Check with your patient Organisation leader)(Required)

1st Delegate

2nd Delegate

3rd Delegate

CML Advocates Network member - 1st Delegate

Has your Organisation submitted your CML Activity report(Required)

Yes

Please proceed with your registration, and our team will get in touch with you to discuss your CML-related activities.

First Name as written in passport(Required)

Last Name as written in passport(Required)

Title(Required)

Passport number(Required)

Passport issue date(Required)

MM slash DD slash YYYY

Passport expiry date(Required)

MM slash DD slash YYYY

Date of birth(Required)

MM slash DD slash YYYY

Nationality(Required)

How would you like your name to appear on the name tag?(Required)

Country where you live?(Required)

Email Address(Required)

Mobile No.(Required)

Name of the Patient Organisation you are representing(Required)

The position you represent within your Patient Organisation(Required)

Which city would you like to depart from?(Required)

What date would you like to travel from your origin city?(Required)

MM slash DD slash YYYY

Would you like to use CML AN shuttle service from the airport to the conference venue and back again?(Required)

Yes

Which destination city would you like to return to?(Required)

Which date would you like to return to your destination?(Required)

MM slash DD slash YYYY

Any dietary requirements?

Please state

Would you like to participate in the city tour?(Required)

Yes

Would you join us for Friday dinner?(Required)

Yes

Would you join us for Saturday off-site dinner?(Required)

Yes

Will you be travelling with a companion?(Required)

Yes

(Please take note that your companion will need to pay for a Double Room surcharge of €17 per night direct to the hotel. In addition to this if they accompany you to dinner on Friday night will be a surcharge of €70.00 and on Saturday €100.00)

Companion First Name(Required)

Companion Last Name(Required)

I am interested in displaying a poster(Required)

Yes

I consent to photos and video taken during the conference to be displayed on social media and CML AN website(Required)

Yes

CML Advocates Network member - 2nd Delegate

First Name(Required)

Last Name(Required)

Title(Required)

How would you like your name to appear on the name tag?(Required)

Country where you live?(Required)

Email Address(Required)

Mobile No.(Required)

Name of the Patient Organisation you are representing(Required)

The position you represent within your Patient Organisation(Required)

Would you like to use CML AN shuttle service from the airport to the conference venue and back again? You will need to provide your flight details to use this service(Required)

Yes

Any dietary requirements?

Please state

Would you like to participate in the city tour?(Required)

Yes

Would you join us for Friday dinner?(Required)

Yes

Would you join us for Saturday off-site dinner?(Required)

Yes

Will you be travelling with a companion?(Required)

Yes

Companion First Name(Required)

Companion Last Name(Required)

Poster Submission(Required)

I confirm my Organisation will submit a poster

I will not submit a poster and confirm to pay €800.00 Conference fee

I consent to photos and video taken during the conference to be displayed on social media and CML AN website(Required)

Yes

CML Advocates Network member - 3rd Delegate

First Name(Required)

Last Name(Required)

Title(Required)

How would you like your name to appear on the name tag?(Required)

Country where you live?(Required)

Email Address(Required)

Mobile No.(Required)

Name of the Patient Organisation you are representing(Required)

The position you represent within your Patient Organisation(Required)

Would you like to use CML AN shuttle service from the airport to the conference venue and back again? You will need to provide your flight details to use this service(Required)

Yes

Any dietary requirements?

Please state

Would you like to participate in the city tour?(Required)

Yes

Would you join us for Friday dinner?(Required)

Yes

Would you join us for Saturday off-site dinner?(Required)

Yes

Will you be travelling with a companion?lll(Required)

Yes

Companion First Name(Required)

Companion Last Name(Required)

I am interested in submitting a poster(Required)

Yes

Consent(Required)

I confirm to pay the €800.00 Conference fee invoice that will be issued to me upon my registration(Required)

I consent to photos and video taken during the conference to be displayed on social media and CML AN website(Required)

Yes

IN-PERSON REGISTRATION FORM - Steering committee member

First Name as written in passport(Required)

Last Name as written in passport(Required)

Title(Required)

Passport number(Required)

Passport issue date(Required)

MM slash DD slash YYYY

Passport expiry date(Required)

MM slash DD slash YYYY

Date of birth(Required)

MM slash DD slash YYYY

Nationality(Required)

How would you like your name to appear on the name tag?(Required)

Country where you live?(Required)

Email Address(Required)

Mobile No.(Required)

Name of the Patient Organisation you are representing(Required)

The position you represent within your Patient Organisation(Required)

Which city would you like to depart from?(Required)

What date would you like to travel from your origin city?(Required)

MM slash DD slash YYYY

Would you like to use CML AN shuttle service from the airport to the conference venue and back again?(Required)

Yes

Which destination city would you like to return to?(Required)

Which date would you like to return to your destination?(Required)

MM slash DD slash YYYY

Any dietary requirements?

Please state

Would you like to participate in the city tour?(Required)

Yes

Would you join us for Friday dinner?(Required)

Yes

Would you join us for Saturday off-site dinner?(Required)

Yes

Will you be travelling with a companion?(Required)

Yes

Companion First Name(Required)

Companion Last Name(Required)

I am interested in displaying a poster

Yes

I consent to photos and video taken during the conference to be displayed on social media and CML AN website(Required)

Yes

IN-PERSON REGISTRATION FORM - Speaker

First Name as written in passport(Required)

Last Name as written in passport(Required)

Title(Required)

Passport number(Required)

Passport issue date(Required)

MM slash DD slash YYYY

Passport expiry date(Required)

MM slash DD slash YYYY

Date of birth(Required)

MM slash DD slash YYYY

Nationality(Required)

How would you like your name to appear on the name tag?(Required)

Country where you live?(Required)

Email Address(Required)

Mobile No.(Required)

Which city would you like to depart from?(Required)

What date would you like to travel from your origin city?(Required)

MM slash DD slash YYYY

Would you like to use CML AN shuttle service from the airport to the conference venue and back again?(Required)

Yes

Which destination city would you like to return to?(Required)

Which date would you like to return to your destination?(Required)

MM slash DD slash YYYY

Any dietary requirements?

Please state

Would you like to participate in the city tour?

Yes

Would you join us for Friday dinner?(Required)

Yes

Would you join us for Saturday off-site dinner?(Required)

Yes

Will you be travelling with a companion?(Required)

Yes

Companion First Name(Required)

Companion Last Name(Required)

I consent to photos and video taken during the conference to be displayed on social media and CML AN website(Required)

Yes

IN-PERSON REGISTRATION FORM - Sponsor

First Name(Required)

Last Name(Required)

Name of the Company you are representing(Required)

The position you represent within your Company(Required)

Title(Required)

Country where you live?(Required)

How would you like your name to appear on the name tag?(Required)

Email Address(Required)

Mobile No.(Required)

Would you like to use CML AN shuttle service from the airport to the conference venue and back again?(Required)

Yes

Any dietary requirements?

Please state

Would you like to participate in the city tour?

Yes

Would you join us for Friday dinner?(Required)

Yes

Would you join us for Saturday off-site dinner?(Required)

Yes

Will you be travelling with a companion?(Required)

Yes

(Please take note that your companion will need pay if they accompany you to dinner on Friday night will be a surcharge of €70.00 and on Saturday €100.00)

Companion First Name(Required)

Companion Last Name(Required)

VIRTUAL REGISTRATION FORM

First Name(Required)

Last Name(Required)

Email Address(Required)

Mobile No.(Required)

Name of the Patient Organisation you are representing(Required)

Country where your patient Organisation is located(Required)

The position you represent within your Patient Organisation(Required)

Are you a(Required)

Registration

IN-PERSON REGISTRATION FORM - CML Advocates Network member

CML Advocates Network member - 1st Delegate

CML Advocates Network member - 2nd Delegate

CML Advocates Network member - 3rd Delegate

IN-PERSON REGISTRATION FORM - Steering committee member

IN-PERSON REGISTRATION FORM - Speaker

IN-PERSON REGISTRATION FORM - Sponsor

VIRTUAL REGISTRATION FORM

Plenary Hall - Group 1

Group 2

Group 3

Agenda

Registration