Register - IANO

First Name

Last Name

Home Address

Work Address

Preferred Postal Address

Home Work

Tel No

Email

Which Special Interest Group (SIG) are you involved in/interested in? (You may tick more than one):

CRCNG - Colorectal Cancer Nurses Group

IBCNG - Irish Breast Cancer Nurses Group

ORNG - Oncology Research Nurses Group

ILCNG - Irish lung Cancer Nurses Group

IGONG - Irish Gynaecology Nurses Group

Local Network/Hospital

What area of nursing do you work in?

In-patient Oncology/Haematology Unit

Oncology CNS/Liaison Nurse/Co-ordinator

Oncology Day Unit

General Surgical/Medical Ward