REGISTRATION FORM

THE INTERNATIONAL CONSENSUS CONFERENCE
ON THE FIGHT AGAINST CERVICAL CANCER
Drake Hotel
Chicago, Illinois, USA
March 18 - 22, 2000
Early Registration (before October 31, 1999): US$ 400.00
Registration Fee (after October 31, 1999): US$ 500.00
Additional reduction of $50.00 for IAC-Members or Registrants of the preceding 45th
Tutorial on Clinical Cytology
No refunds after February 1, 2000.

 

Name/Title:
 ________________________________________________________________________________
   
Department:
 ________________________________________________________________________________
   
Institution:
 ________________________________________________________________________________
   
Address:
 ________________________________________________________________________________
   
City:
 ______________________________
State:
 ______________________________
Country:
 ______________________________
Postal Code:
 ______________________________
Office Tel:
 ______________________________
Office Fax:
______________________________
Email:
 ______________________________
Home Address:
 ________________________________________________________________________________
City:
 ______________________________
State:
 ______________________________
Country:
 ______________________________
Postal Code:
 ______________________________
Home Tel:
 ______________________________
Home Fax:
 ______________________________
Home Email:
 ______________________________

I will submit an abstract: YES NO

I am especially interested in the following topics (check all that apply):

Epidemiology of Cervical Cancer
Reasons for Regional Prevalence Differences
Sampling, Sampling Errors & Specimen Preparation
Screening, Screening Errors & Reporting
HPV-Related Changes and Differential Diagnosis
HPV-Vaccinations (ethical and technical problems)
Visualization Techniques (Colposcopy, fluorescent dyes, acetic acid, etc)
Quantitative Cytochemistry (DNA, molecular biology)
Automated Prescreening and Rescreening
Follow-up Procedures of Cytologic Findings
LEEP Diagnostics
Laser Conizations Diagnostics		 Obligations to provide Appropriate Patient Management
Features of Successful Organized Screening Program
Potential Limitations of Screening Programs
Quality Assurance and Risk Reduction Guidelines
Cost Effectiveness Studies
Computerized Training and Testing
Competency and Proficiency Testing of Laboratory Personnel
The Medically Underserved Woman
Projects to Obtain Patient Cooperation
Medicolegal Problems
Telecytology

Return this Registration Form with your registration fee
(made payable to INTERNATIONAL ACADEMY OF CYTOLOGY),
and drawn on an American bank or by credit card to:

International Academy of Cytology
1640 East 50th Street, Suite 20-B
Chicago, IL 60615-3161
U.S.A. Tele: (773) 947-0098; FAX: (773) 947-0290;
E-Mail: registry@cytology-tutorial.org; Website: www.cytology-tutorial.org

Payment form: Check/Draft
Amount: US$ _______________
MasterCard
VISA card
EuroCard
Amount: US$ _______________
Credit card number: _______________________________
Valid Thru: _________________
Signature:_______________________________
Date: _____________________
 

Home Page - Letter of Invitation
Preface by Dr. Bodo (UICC) - Preface by Dr. Solomon (ASC) - Preface by Dr. Vooijs (EFCS/QUATE)
Scientific Directors - Program Steering Committee - Scientific Advisory Committee - Task Force & Program Committee
Conference Details - Program - Important Dates - Conference Venue
Accepted Abstracts - Registration Form - Hotel Room Reservation Form