CUA Highlights of ESMO 2025 CUA Highlights of ESMO 2025 Name(Required) First Last Email City(Required)State/Province/Region(Required)OtherAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanNorthwest TerritoriesYukon TerritoryAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWet VirginiaWisconsinWyomingCountry(Required)United Arab EmiratesAndorraAfghanistanAntigua and BarbudaAnguillaAlbaniaArmeniaNetherlands AntillesAngolaAntarcticaArgentinaAmerican SamoaAustriaAustraliaArubaAland IslandsAzerbaijanBosnia and HerzegovinaBarbadosBangladeshBelgiumBurkina FasoBulgariaBahrainBurundiBeninBermudaBrunei DarussalamBoliviaBrazilBahamasBhutanBouvet IslandBotswanaBelarusBelizeCanadaThe Democratic Republic of The CongoCentral African RepublicCongoSwitzerlandCote D'IvoireCook IslandsChileCameroonChinaColombiaCosta RicaSerbia and MontenegroCape VerdeCyprusCzech RepublicGermanyDjiboutiDenmarkDominicaDominican RepublicAlgeriaEcuadorEstoniaEgyptEritreaSpainEthiopiaFinlandFijiFalkland Islands (Malvinas)Federated States of MicronesiaFaroe IslandsFranceGabonUnited Kingdom of Great Britain and Northern IrelandGrenadaGeorgiaFrench GuianaGuernseyGhanaGibraltarGreenlandGambiaGuineaGuadeloupeEquatorial GuineaGreeceSouth Georgia and The South Sandwich IslandsGuatemalaGuamGuinea-BissauGuyanaHong KongHondurasCroatiaHaitiHungaryIndonesiaIrelandIsraelIsle of ManIndiaBritish Indian Ocean TerritoryIraqIcelandItalyJerseyJamaicaJordanJapanKenyaKyrgyzstanCambodiaKiribatiComorosSaint Kitts and NevisRepublic of KoreaKuwaitCayman IslandsKazakhstanLao People's Democratic RepublicLebanonSaint LuciaLiechtensteinSri LankaLiberiaLesothoLithuaniaLuxembourgLatviaLibyan Arab JamahiriyaMoroccoMonacoRepublic of MoldovaMontenegroSaint MartinMadagascarMarshall IslandsThe Former Yugoslav Republic of MacedoniaMaliMyanmarMongoliaMacau SAR/ MacaoNorthern Mariana IslandsMartiniqueMauritaniaMontserratMaltaMauritiusMaldivesMalawiMexicoMalaysiaMozambiqueNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNetherlandsNorwayNepalNauruNiueNew ZealandOmanPanamaPeruFrench PolynesiaPapua New GuineaPhilippinesPakistanPolandSaint Pierre and MiquelonPuerto RicoPalestinian Territory, OccupiedPortugalPalauParaguayQatarReunionRomaniaSerbiaRussian FederationRwandaSaudi ArabiaSolomon IslandsSeychellesSwedenSingaporeSloveniaSlovakiaSierra LeoneSan MarinoSenegalSomaliaSurinameSouth SudanSao Tome and PrincipeEl SalvadorSwazilandTurks and Caicos IslandsChadFrench Southern TerritoriesTogoThailandTajikistanTokelauTimor-LesteTurkmenistanTunisiaTongaTurkeyTrinidad and TobagoTuvaluTaiwanUnited Republic of TanzaniaUkraineUgandaUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanHoly See (Vatican City State)Saint Vincent and The GrenadinesVenezuelaVirgin Islands, BritishVirgin Islands, U.S.VietnamVanuatuWallis and FutunaSamoaYemenMayotteSouth AfricaZambiaZimbabweOrganizationDo you give consent to CUA sharing your name and location ONLY to program sponsors? / Consentez-vous à ce que l’AUC révèle votre nom et votre lieu UNIQUEMENT aux commanditaires de nos programmes?(Required) Yes / Oui No / Non Which of the following best describes you? / Lequel des titres suivants vous décrit le mieux?(Required)Urologic-Oncologist / Uro-oncologueUrologist / UrologueUrogynecologistMedical Oncologist / Oncologue médical(e)Radiation Oncologist / Radio-oncologueGP-Oncology / Omnipraticien(ne)/médecin de oncologieNurse / Infirmier(ière)Pharmacist / Pharmacien(ne)CUA staff / Personnel de l’AUCGP/FM / Omnipraticien(ne)/médecin de familleMedical Student / Étudiant en médecineResident/Fellow / Résident/BoursierOther MD / Médecin — autre spécialitéOther non-MD / Travailleur de la santé autre que médecinIndustry / Travailleur de l’industrie pharmaceutiqueHow did you hear about this event? / Comment avez-vous entendu parler de cette activité de formation?(Required)CUA Email / Courriel de l’AUCCUA Website / Site Web de l’AUCCUA Website / Site Web de l’AUCFrom a Colleague / CollègueIndustry Rep / Représentant de l’industrie pharmaceutiqueOther / AutreInformation you provide when registering will be shared with the account owner and host and can be used and shared by them in accordance with their Terms and Privacy Policy.
