Ostomy Event, Form - CPBC

We invite you to join this FREE, ostomy, educational, and inspirational session on living empowered. Enjoy morning breakfast, mingle with other ostomates, and listen to inspirational guest speakers on Friday, the 27th of October 2023, at The Views, Port Melbourne.

Secure your seat and register your interest below.

*Each registered ostomate will receive one complimentary bag on the day of the event.

First Name*

Last Name*

Phone Number*

Please let us know how many are attending*

What type of stoma do you have?*Colostomy
Ileostomy
Urostomy
Other

Support Services declaration of consent By providing your personal and sensitive data, you are consenting to Coloplast that we may process and store your data for the purposes to provide tailored nursing services and healthcare guidance on a regular basis; to fulfill your request and to keep you informed about it in person or by phone, text, email, or post. We will also process your data to improve our products and services and may refer you to healthcare professionals if needed. We may share your data with our sub-vendors when necessary to fulfill the request and transfer data securely outside Australia to support our business operations. You may withdraw consent at any time without ramifications by writing to privacyrequests@coloplast.com or calling us at 1800 653 317. For more information, please visit our privacy policy for consent.

From time to time, we at Coloplast would like to let you know about relevant Coloplast products and services; share inspirational stories from other customers; or tell you about forthcoming events via phone, text, email, or post. Our communication to you will be based on the information you provided to us and your preferences and interests, including your heath data. The choice is yours - and as with any of our services, you may opt-out at any timeYes
No

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