Title: Mr Ms Dr Mrs Miss Prof            First Name:          Last Name:

Correspondence Address:                                                         Postcode: 
             Country:    

Phone:      Fax:      e-mail:
                                                                                                            A valid e-mail address is required!

Details of abstract

Abstract Title:
                            Remember to use sensible formatting. NOT LIKE THIS (Turn off your Caps Lock key)!

Abstract Category (choose one):  Clinical genetics/ counselling    
                                                                Molecular genetics                        
                                                                Cytogenetics             

ACC Members Only   ACC members employed at point B16 or below (or equivalent), 
                                        are eligible to submit abstracts for the ACC prize. 
                                        Tick here to submit your abstract for the ACC prize:

Abstract is offered as: (choose one)       Spoken Presentation
                                                                           Poster
    (Note: Abstracts offered for spoken presentation may be accepted as posters. 
    Final decisions will be made by the Abstracts Committee.)

Keywords - Abstracts will be indexed in the Abstracts booklet using keywords. You may suggest up to four here:
             (For example keywords for an article on Prader-Willi syndrome might be : 
                Prader-Willi; chromosome 15, imprinting, obesity.)

                                                    Abstract Text: 

Details of Authors and Institutions

First named author (Author 1) is normally the person who would present the paper, if it were to be selected as a spoken presentation.

Author 1 First Name:  Author 1 Last Name:

Author 1 Institution: 1 2 3 4 5 6 0 Choose a number from the list, and fill in the details of the institution in the Institutions list below.

Other Authors:

            Last Name            Initials  Institution               Last Name              Initials  Institution

2:         1 2 3 4 5 6 0         6:            1 2 3 4 5 6 0

3:         1 2 3 4 5 6 0         7:            1 2 3 4 5 6 0

4:         1 2 3 4 5 6 0         8:            1 2 3 4 5 6 0

5:         1 2 3 4 5 6 0         9:            1 2 3 4 5 6 0

10: Institutional Authors:
                                                (for example: Huntington Disease Consortium)

Institutions List - for each number used above, give the details of the Institution:

1:     4:

2:     5:

3:     6:

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Once you are happy that it is correct, click the Submit Form button:

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