Aadi Bioscience SGO Registration Form

First Name *

Last Name *

Designation *

Company/Institution *

Are you a member of SGO? *

Address *

Address 2

Zip/Postal Code *

City *

State/Province *

Phone Number

Cell Phone *

Please note: cell phone number is requested by SGO for emergency use only

Email *

Do you agree to have your contact information shared in the Annual Meeting Platform? *

Yes
No

The Annual Meeting virtual platform contains a listing of attendees’ names, institutions, cities. states, and countries and offers the opportunity for you to connect with other attendees. Please choose “No” below if ou want your contact information omitted from the Annual Meeting Virtual plaform.

Emergency Contact Name *

Emergency Contact Phone Number *

Emergency Contact Relationship *

Dietary Restrictions *

SGO will do its best to accommodate all dietary restrictions.

Anything you wish to communicate to us regarding SGO?

Hotel Check-In Date *

March 24th
March 25th
March 26th

Hotel Check-Out Date *

March 26th
March 27th
March 28th

Hotel Deviation Requests – please indicate any hotel deviation or special requests here