15th EVICR.net Members Meeting
24 October, 2020 - Online - 9:30-11:30 AM (CET)
REGISTRATION FORM
Clinical Site no. or Industry Advisory Board Member *
In case of Clinical Site please see your number in the attached list of members available at: https://www.evicr.net/wp-content/uploads/2020/09/List-of-members_A5-flyer_15-Setember-2020.pdf If you are an Industry Advisory Board Member please indicate the name of the company you are representing.
Name *
Surname *
Email *
Phone
Privacy Policy
We are collecting your personal data in order to register you for the 15th Annual Members Meeting. Consult our Privacy Policy available at http://www.evicr.net/privacy.php *
We are using the Google Forms to collect this information. For more information on Google Privacy Policy click https://policies.google.com/privacy.
Required
Thank you for your registration!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy