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Registration form to VBF Healthcare Working Group
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* Indicates required question
1. Full Name
*
Your answer
2. Position
*
Your answer
3. Email address
*
Your answer
4. Company name
*
Your answer
5. Company business sector
Your answer
6. Interested Sector(s) in VBF Healthcare Working Group
*
Generic
Hospital/Clinic
Medical device
Pharma
Retailer/Distributor
Others (please go to question number 7)
Required
7. Please provide your answer if you choose
OTHERS
at the question number 6
Your answer
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