Workshop Kobe 13-14 November 2023

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Forms / Workshop Kobe 13-14 November 2023

Workshop Tokyo 13-14 November 2023... Registration Form

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Welcome
Details
Days
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Thank You

eClinical Forum Workshop Kobe 13-14 November 2023
REGISTRATIONS ARE CLOSED
Submissions are no longer being monitored. You may still be able to participate by contacting the organiser directly at info@eclinicalforum.org
WELCOME
Thank you for your interest in the eClinical Forum Workshop to be held in Kobe 13-14 Nov 2023.

This workshop is available as in-person only.

Meeting location:
Eli Lilly Kobe Headquarters,
5-1-28, Isogami-dori,
Chuo-ku, Kobe
Japan

For more information about the eClinical Forum, please visit the eClinical Forum website here
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	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 face-to-face or remote participation. Please note that not all of the planned sessions can be streamed for remote participation. We encourage you to participate in person if you can. Face-to-face participation will require you to be fully vaccinated and with a negative Covid test within the preceding 3 days.
How do you intend to participate in this meeting?

I intend to participate at the workshop venue for the in-person meeting
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)

November 13, Meeting 10:00-17:00 JST
November 13, Group Dinner hosted by eClinical Forum
November 14, Meeting 10:00-17:00 JST
Do you prefer a special diet?

Yes
No
If Yes, please specify:
A link to join the meeting will be sent out a week before the meeting.

Membership of ECF
Your company needs to be a member for you to participate
Is your company a member of 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 (750 GBP, 930 EUR, 1040 USD)
No charge for speakers/presenters
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

The security feature below checks that you are not a robot. It may not work in China: If you have a problem going to the next page to Submit 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.

Please book accommodation and parking needs directly with the venue hotels. Please send your room request directly to the hotel and mention your are a guest of Eli Lilly.

Oriental Hotel Kobe
Kyomachi, Chuo-Ku, Kobe , Hyogo Prefecture 650-0034, Japan

Telephone: +81 078 326 15 00
Website: https://www.orientalhotel.jp/

Daiwa Roynet Hotel KOBE-SANNOMIYA

651-0087 1-6 5-chome, Gokodori, Chuo-ku, Kobe-shi, Hyogo

Website: https://www.daiwaroynet.jp/en/kobesannomiya/

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