UKNSCC - UK National Smoking Cessation Conference

Abstract submission

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Abstract details

Title of paper *

Full name of author 1

Full name of author 2

Full name of author 3

Presenter name *

Job title *

Organisation

Address line 1 *

Address line 2

Town/city *

Postcode *

Country

email address *

Telephone number *

Co-presenter name

Job title

Organisation

Town/city

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Abstract
please supply an outline of your presentation (max 200 words)

Biographies
please supply short biographies for each presenter (max 100 words)

Source of funding *
of study/service to be presented

Conflict of interest *
I certify that the following statement about conflict/declaration of interest is complete and accurate

My preferred presentation format
Select 1st, 2nd, 3rd

	1st	2nd	3rd
Parallel paper presentation
Parallel workshop/session
Poster presentation

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By clicking continue below, I understand the following:
I give permission for my abstract to be published in full on the conference website following the conference
I give permission for my powerpoint presentation to be published on the conference website after the event
I understand that if my paper is accepted I must register for the conference