2020 Celebrating a Second Chance at Life Survivorship Symposium May 2-3 Boston

Registration fee for this two day event is $ 35.00.  If you prefer to register by mail with a check, click here to download our registration form.

If you are a patient or family member who needs a scholarship to attend the symposium, please contact us at help@bmtinfonet.org or call 888-597-7674 BEFORE completing this form.

All Registration information is kept stictly confidential and will not be shared with any other person or organization.

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(including yourself)
Fill in your registration information on this page. If you are registering additional people, you will be able to enter their registration information after you complete this page and click "Continue".
Total Fee(s) for this participant
Credit Card Information
If you have a PayPal account, you can click the PayPal button to continue. Otherwise, fill in the credit card and billing information on this form and click Continue at the bottom of the page.
Checkout securely. Pay without sharing your financial information.
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Billing Name and Address
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Information About the Registrant


Please select the month (using the slide arrow) the year and day of the person registering. Must be in that order.
Tell us about the Patient/Survivor
Please select the month (using the slide arrow) the Year and day. Must be in that order.
Please select the diagnosis that led to the patient's transplant.
If you do not see the diagnosis on the list select OTHER and enter the name below.
The following questions are about the patient's most recent transplant. If you just know the year, select Jan 1 of that year.
 
 
  
Use the drop down to select the organs affected by GVHD
Please complete this section if the patient had a previous transplant.
Has the patient had CAR T Therapy or Considering this Therapy
2020 Workshops
Networking Groups: Relaxing, small group discussions with other survivors, caregivers and family members to share experiences and ideas about managing life after transplant. Meet new friends, say what's on your mind, and find support.
Sympo Information by Event