Industry Attendee Waitlist

First Name

Last Name

Email

Company

Please enter the conference AND city/location you want to waitlist for: (Please add the conference name so we know what conference you'd like to be waitlisted for not just the city name)

1. Are you employed by a pharmaceutical, medical device, or diagnostic company (in any capacity)?

Yes

No

2. Do you hold a valid clinical designation (e.g., MD, DO, NP, PA, PharmD, RN)?

Yes

No

Other

3. What is your primary role within your company?

Medical Science Liason

Clinical/Scientific (non-sales, non-marketing)

Sales

Marketing

Other

I have read and understand the statement below:

If you are in a sales role, you may NOT register as a learner, even if you hold a clinical degree.
If you are in a sales role and would like to attend, sponsorship is the only way to do so. Please navigate to sponsorships.horizoncme.com products to learn more about sponsorship opportunities for this conference.

I have read and understand the statement below:

Once you submit this form, you will automatically be added to the waitlist. Individuals who do not meet the requirement for the waitlist will be ignored.

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