Name of applicant*DrMsMissMrsMr * E-Mail Address* Phone number (including international Country Calling Codes)* Application for:*ISUCRS Lead EventISUCRS Supported EventISUCRS Listed Event Is the application on behalf of any local or national organization?*NoYes City and country where the meeting is to be held.* Suggested dates of meeting* Are these dates coinciding with any major local/national/international meeting attracting colorectal surgeons?* Will the meeeting be sponsored by any university/medical school? (If Yes - endorsement should accompany this form)*NoYes Endorsement Form (see above)* Please provide details of the meeting venue* Detail the possibilities to finance the meeting (including availability of resources to promote a meeting). Do you have well organized supporting group which can devote enough time for the organization of the meeting? Please detail. What other support is offered by scientific or governmental authorities?* What support would you like from ISUCRS?*Advertise the meeting on ISUCRS website? (All Events)Advertise the meeting in an e-flyer from ISUCRS? (All Events)Provide speakers for the meeting? (Only ISUCRS Lead Event)Assistance in creating the programme? (Only ISUCRS Lead & Supported Events) Terms of Service. By submitting this application you accept that ISUCRS will not give financial assistance. Date* Input this code: Silver Sponsors
