eCF Hybrid Workshop Walton Oaks 13-15 May 2025

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Forms / eCF Hybrid Workshop Walton Oaks 13-15 May 2025

Hybrid Workshop Walton Oaks 13-15 May 2025... Registration Form

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Welcome
Details
Participation
Days
Membership
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Thank You

eClinical Forum Hybrid Workshop Walton Oaks 13-15 May 2025
Our in-person workshop is now at capacity so we are no longer accepting registration.
For last minute remote registration, please contact Wolfgang.Summa@eclinicalforum.org
WELCOME
Thank you for your interest in the eClinical Forum Hybrid Workshop kindly hosted by Pfizer in Walton Oaks, Surrey, UK on the 13th-15th May 2025.

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

Pfizer

Walton Oaks, Dorking Road, Tadworth

Surrey KT20 7NS,

United Kingdom

For more information about the eClinical Forum, please visit the: eClinical Forum Website

Company and Registrant Information
Name

First Name
Last 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

Country

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? (NOTE in-person capacity is reached and is no longer available for registration.)

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)
May 13th, Meeting 1-5pm

Yes
No
May 13th, Group Dinner hosted by Pfizer

No
May 14th, Meeting 9am-5pm

Yes
No
May 14th, Group Event hosted by the eCF 7pm

No
May 15th, 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 (please contact Wolfgang.Summa@eclinicalforum.org for discussion of membership options.)

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

Some firewalls may block the ability to submit this form. If you have a problem Submitting your registration, please send your registration details by eMail to Wolfgang.Summa@eClinicalForum.org
THANK YOU
YOUR REGISTRATION WILL BE FINAISED AND A CONFIRMATION EMAIL SENT 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.

THANK YOU!!!

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