Join NeuroTechX!
Interested in being a part of NeuroTechX? Fill out this form to get started! The more we know about you, your interests, and your skills, the better we will be able to build a strong international NeuroTech community. .
Basic Information
First Name *
Last Name *
Email *
Location (City, Province/State, Country) *
Twitter
Facebook
LinkedIn
Blog
Other social media accounts?
Next
Never submit passwords through Google Forms.
This form was created inside of NeuroTechX. - Terms of Service - Additional Terms