Speakers Bureau Request Form

To schedule a cancer speaker for your group, submit the form below at least one month before the presentation date.  Please note that there is a minimum of 25 attendees, and we may request pre-registration to ensure that this minimum is met.

If you have any questions, please contact Perlmutter Cancer Center Community Outreach and Education at 212-263-2266 or CancerEvents@nyumc.org.

Contact Information
Event Details
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(*If other, please specify below.)

Please note that there is a minimum of 25 attendees, and we may request pre-registration to ensure that this minimum is met.