Author Request Form
Triage Cancer can provide you with an author to write content for your website, publications, newsletters, or blog. Triage Cancer's authors can provide content on a variety of cancer survivorship topics. Please complete the form below to provide us with information about your author request. Someone from our team will be in touch shortly.
First Name *
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Last Name *
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Job Title
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Organization Name *
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Email Address *
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Phone Number *
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Address
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Type of Publication *
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Deadline *
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Topic(s) of Presentation *
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Audience
Choose disease stage/focus (check all that apply)
If requesting a preferred Triage Cancer subject-matter expert, please enter their name here,
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Please indicate the amount of honorarium available for the author. *
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How did you hear about Triage Cancer's Speakers Bureau?
Additional Comments
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