SPEAKERS AGREEMENT FORM ICHS: ‘37th Conference of the International Clinical Hyperthermia Society ‘September 19-21 2019 With the European Law for handling personal data, from May 2018 (GDPR) we kindly ask you to ‘complete the following agreement and return signed by e-mail to Ms. Zs6fia Hahn on the email address: z,hahn@ichs.eu Please tick below if you agree: agree to the publication of 1 mny name Yang photo Wnyov ED my abstract in the open access booklet TD my paper in the Oncothermia Journal (as Proceedings ofthe Conference) ny materials in ICHS website and in promotional materials in connection with the conference, Name of the speaker Mr./Ms./Dr./Prof. My. Nikos Manietis oy Nimanoe® Phusics.Atrth. Fr Tel $069 SS 18 dso. Fer forte deals om hs oer data isd and sored ple he flowing lnk yes sofort Signature of the speaker: due 0% /09] 7019