Sponsor Registration

Please complete the form below to send us your sponsorship application

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* Essential fields

Your Name *

Company

Your Email *

Your Telephone Number *

I am a  Primary Care Secondary rep Both

Product Areas or Services

Target Audience

Would you be prepared to sponsor a GP meeting where other sponsors (not in competition with yourself) were present?
 Yes No

Lecture content - is it vital that the lecture content is relevent to your product(s) or would you be interested in coming along to meet GPs/Consultants and network?
 Content must be relevant Happy to just network

Please state the geographical areas in which you are interested

Additional Comments/Meetings you are interested in

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