Macmillan Greater Manchester Cancer Support Workforce Event Delegate Information Form

Name

First Last

Please advise us of any dietary or accessibility requirements

Job Title

Company/Organisation

Work Phone

Professional Grouping

Length of time in current role

Care Setting

(if you’re a boundary spanning role, state the one where you spend the most time)

Please select your cancer alliance

(if you’re a boundary spanning role, state the one where you spend the most time)