CHAPTER SPEAKER REQUEST FORM

  • NCAN OFFICIAL SUPPORT GROUP CHAPTER GUEST SPEAKER REQUEST FORM

    We are excited that you have chosen to tap into one of the many benefits of being an NCAN Support Group Chapter.  This form will assist you in securing a speaker for one of your local chapter meetings.

    If you need assistance in filling out this form, please call us at 1 (866) 850-9555.

    Benefits of having a guest speaker:
    • Bring Scientifically Valid Professional Presentations on Topics Critical to the Diagnosis and Treatment of NETs to Local Support Group Chapter Members
    • Relevant and valuable hour of education / Q&A before peer-to-peer sharing
    • No cost / low cost to NCAN
    • Attractive to members and potential members
    • Approximately 15 no cost presentations available
    • Once a chapter has scheduled a date, the other chapters have priority for availability. When all have had a chance to book, chapters may schedule another presentation.
  • Choose your chapter from the dropdown list
    • “Carcinoid Syndrome Briefing” (Lexicon)
    • “Dietary Tips for NET Patients” (Lexicon) (Additional Lead Time & Cost Involved)
    • “Gallium68 Scan and PRRT Briefing” (AAA)
    • “The Right Amino Acids at the Right Time: Managing Diarrhea in NETs” (Entrinsic)
  • DateTimeLocation 
    Click on the "+" sign to the right of the TIME field to add more rows or the "-" sign to delete rows. Please make sure you submit five (5) dates and times.