eCF Hybrid Workshop Ingelheim 15-17 October 2024

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Forms / eCF Hybrid Workshop Ingelheim 15-17 October 2024

Hybrid Workshop Ingelheim 15-17 October 2024... Registration Form

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Welcome
Details
Participation
Days
Membership
Security
Thank You

eClinical Forum Hybrid Workshop Ingelheim 15-17 October 2024
Workshop in-person is fully booked - ONLINE REGISTRATIONS ARE CLOSED
Submissions are no longer being monitored. YOU CAN STILL PARTICIPATE REMOTELY by contacting the organiser directly at wolfgang.Summa@eclinicalforum.org
WELCOME
Thank you for your interest in the eClinical Forum Hybrid Workshop kindly hosted by Boehringer Ingelheim in Ingelheim am Rhein on the 15th-17th October 2024.

Meeting location: In-person (workshop will also be live-streamed)

Boehringer Ingelheim

Binger Str. 173,

55218 Ingelheim am Rhein,

Germany

For more information about the eClinical Forum, please visit the: eClinical Forum Website
To register for this event, please continue.

Company and Registrant Information
Name

First (Familiar) Name
Last (Family) Name
Member Organisation (select from dropdown list)
Not in the list of Member Organisations?... please provide organisation name
If your organisation is not a member, we will contact you about participation
Title or Primary Work Area (eg. IT, Reg, DM etc...)
Organisation Email
Telephone
Area CodePhone Number

Address

Street Address
Street Address 2
City, State/Region	Region
Postal Code	Country

Address

Street Address
Street Address 2
City	Region
Postal Code	Country

Please confirm that the eClinical Forum can use your details to keep you informed about eCF Operations and Events.

I Accept

How will you Participate in the Event?
This hybrid workshop is available for in-person or remote participation. Please note that remote participation is via a live-stream of the in-person workshop. Networking is a key component of eCF workshops and we encourage you to participate in person if you can.
How do you intend to participate in this meeting?

I intend to participate in person
I intend to participate remotely (a link will be sent to you one week before the meeting)
Please let us know if your plans change... info@eclinicalforum.org

Which days and events will you attend? (please check all that apply)
October 15th, Meeting 1-5pm

Yes
No
October 15th, Group Dinner hosted by BI

Yes
No
October 16th, Meeting 9am-5pm

Yes
No
October 16th, Group Dinner 7pm

Yes
No
October 17th, Meeting 9am-12.30pm

Yes
No
Do you prefer a special diet?

Yes
No
If Yes, please specify:

ECF Membership
Your company needs to be a member for you to participate
Is your company a member of the eClinical Forum?

Yes
No

MY COMPANY IS A MEMBER OF ECF...
How do you want to participate?

I will use a membership seat
Please bill me for an extra seat
No charge for virtual attendance
Others
MY COMPANY IS NOT A MEMBER OF ECF...
Are you interested in ECF membership?

Contact me about membership options
Invoice me for membership
Others

If you have a problem Submitting your registration, then please send your registration details by eMail to info@eclinicalforum.org
THANK YOU
Your registration will be finalised and a confirmation Email will be sent to you when you click on Submit.
If the Email is not received please check your junk mail folder or contact info@eclinicalforum.org.

Please mark your calendar for the sessions you have registered for. Final details for the meeting will be sent to you by Email two weeks before the meeting.

Please allow 72 hours if you have asked us to contact you about membership of the eClinical Forum.

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