Guiding Your Way Into 14th CTSS - A World of Opportunities Please complete the following details and return the registration form to confirm your participation for the 15th Clinical Trials Strategic Summit (CTSS). Upon receipt of this signed form, a formal notification of your VIP slot will be shared with you & with the rest of your industrial peers coming to the event. Prior to the event, complete list of 15th CTSS attendees along with their company & personal lnformation will be shared, so that you can decide your meeting partners according to your preference. Package lncludes:TitleDr.TitleProf.TitleBothTitleNoneName *Position *Email *Company *Street AddressZIP / Postal CodeCountry AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweFaxTelephone *Mobile *The 14th Edition of CTSS aims to ensure quality gathering and knowledge to its attendees, to make it happen we will need you to fill out the following particulars. Your responses will then be used to mature the agenda, as well as corresponding your needs to our supplier's services.1. Who would attend as your replacement if you are unable to make to summit?NamePositionTelephoneCompany2. Who, besides yourself have control over the Clinical Trials related budget?NamePosition3. What are your key priorities for the next 6 to 18 months?4. Please list any subjects or areas of interest that you would like to see on the summit agenda:5. What is your Focused Therapeutic Area?6. In which the Therapeutic area is your company active?7. When does your clinical trials start?6. Please select your industrial sector:PharmaceuticalsBiotechnologyOther7. Annual personal budget for Clinical Trials related products & services:< 1 Million USD1-10 Million USD10-50 Million USD> 50 Million USD8. Scope of responsibility:DepartmentalRegionalEuropeanInternationalNationalOther (Please Specify)9. What products & services are you planning to purchase in the next 6-18 months?Central Laboratory ServicesMedical Writing & TranslationClinical Data & Project ManagementDecentralized TrialsClinical Trials OperationsElectronic Data CaptureDigital Imaging Technology | ToolsSite Operations SoftwaresClinical MonitoringClinical Trial AuditsPatient ConciergesBiometricsClinical Trials Statistical AnalysisCTMSFunctional Service ProviderSite Management ServicesPatient Recruitment & RetentionClinical planning & supportCRORWEClinical Trials Big Data SolutionsPharmacovigilance & Regulatory AffairsClinical Trials Budget Management & ForecastingTele HealthHEOReCOAPharmacovigilance & Regulatory AffairsPV & RAeclinical CLoud/ PlatfromsImaging ToolsCTMSeSourceDrug Safety SolutionSignature *Start signing your signature hereYour browser does not support e-Signature field.DateTerms & Conditions of this complimentary pass: Cancellation requests must be submitted in writing, at least 60 days before the summit. You must choose a replacement delegate for the summit in the event of cancellation. You consent to pay 990$ to AFSG as reimbursement for the costs that AFSG will incur at the summit in the event of cancellation and failure to provide a suitable replacement. Send Message
