Sponsor Registration

Your Name *

Company

Your Email *

Your Telephone Number *

I am a Primary CareSecondary repBoth

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?
YesNo

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 relevantHappy to just network

Please state the geographical areas in which you are interested

Additional Comments/Meetings you are interested in