One Day Registration for the Heart and Brain Day

Contact Details

Title

First Name

Last Name

Email Address

Optional: Additional Email Address

City

Country

Mobile Phone

Share your Social Media profiles with us for enhanced engagement

Facebook URL

Instagram URL

LinkedIn URL

Twitter Handle

Additional Information

Abstract No.

PRESCRIBER / NON-PRESCRIBER

Support from pharmaceutical partners helps make this event possible. As such, it is important that we comply with the various codes and directives relating to the manufacturing, distribution, and marketing of pharmaceutical products. The European Union directive (2001/83/EC, article 86) provides guidelines relating to medicinal products for human use. Within these guidelines is the restriction that access to pharmaceutical product marketing activities must be limited to only those participants licensed/authorised to prescribe or supply medicinal products. All participants, with the exception of the exhibitors, are asked the following question during registration: Are you licensed/authorised to prescribe or supply prescription only medicines?

Are you licensed/authorised to prescribe or supply ‘prescription medicines’? (P-Prescriber. N/P-Non-prescriber)

Invoice Details

Company name

Invoice Address Line 1

Invoice Address Line 2

Invoice Address Line 3

Invoice Address City

Invoice Address Country

Invoice Address State

Invoice Address ZIP/Post

VAT Number

You need to enable JavaScript to access this site.

Follow these instructions on how to enable JavaScript.

Internet Explorer

Select Tools from the top menu
Choose Internet Options
Click on the Security tab
Click on Custom Level
Scroll down until you see the section labelled Scripting
Under Active Scripting, select Enable and click OK

Google Chrome

Select the menu icon on the browser toolbar
Select Settings
Click the Show advanced settings... link then Content Settings in the Privacy section
Select Allow all sites to run JavaScript (recommended) and click Done

Safari (Mac)

Select Safari from the top menu
Choose Preferences
Choose Security
Select the checkbox next to Enable JavaScript

PRESCRIBER / NON-PRESCRIBER

Terms and Conditions

OFFICIAL INVITATION LETTER

PRESCRIBER / NON-PRESCRIBER

Terms and Conditions

OFFICIAL INVITATION LETTER

Your Browser Settings have Cookies Disabled