Membership is open to Australian and New Zealand medical and non-medical people active and interested in the conduct of Australasian trials in lung and thoracic cancer. The ALTG is available to investigators for the development of research ideas or trial concepts in the area of lung and thoracic cancer. Please complete the following form and nominate two current ALTG members to endorse your application. Your membership request will be emailed to the Management Advisroy Committee and you will be advised when your application is successful. Membership is free and does not need to be renewed annually. The ALTG respects your privacy and will ensure the confidentiality of all personal information. Title (*) Invalid Input Full Name (*) Please type your full name. Position Invalid Input Work Address (*) Invalid Input Craft Group (*) Select craft group Medical Oncologist Radiation OncologistSurgeonRespiratory PhysicianPalliative Care PhysicianNurseConsumerClinical ScientistsPathologistsAllied Health ProfessionalsRadiologistsAdvanced & Specialist TraineesOther Invalid Input E-mail (*) Invalid email address. Telephone (*) Invalid Input Mobile Invalid Input Fax Invalid Input Professional Affiliations Invalid Input Type of Membership (*) General Industry Invalid Input The ALTG requires two current members to endorse you for membership. If you do not know any ALTG members please complete and the secretariat will seek endorsees from the group. 1st Endorsee Invalid Input 2nd Endorsee Invalid Input Validation Refresh Invalid Input Please type the letters you see in the image