REGISTRATION

    

In person attendance for this event has reached its maximum and is sold out.  

 

If you would like to be added to the waitlist to attend in person please register online and you will be notified if spaces become available. There is no waitlist to attend via WebEx.  

 

Submissions are subject to approval - qualified attendance event.

 

(Required) Please select one of the following:

I will attend in person. Add me to the waitlist to attend in person.

Merck Employee

Health Care Practitioner (*See below for conference fee)

Other

 

I will attend via web ex

 

Your Information

Mr.     Ms.     Mrs.     Dr.     Prof.

First:

         Last:

Title:

Div/Dept.:  

Company:

Address:

City:

State:

Zip/Postal Code:

Country:

Email:

 

Phone and fax numbers are required to process form

Telephone:

How would you prefer to receive notices from CHI?

Email:Yes No

Fax: Yes No

 

We may occasionally send you, via email, industry relevant product & service information on behalf of a third party.

Yes, I want to receive this information.

No, I do not want to receive this information.

 

(Required) Are you a Health Care Practitioner? Yes No

Note: Under Massachusetts law, a pharmaceutical manufacturing company may not provide or pay for a meal to a Health Care Practitioner outside of the office or hospital setting.

All Health Care Practioners please click here to read this important material before registering.

A $85 fee for meals is required for Health Care Practioners for this conference.

Credit Card information is required to process form

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Credit Card:

Exp. Date:

/

Cardholder's Name:

Credit Card Number:

 

Additional registration details
 

Want to Register by Phone?

Contact our Registration department at 781-972-5400
or Toll-free in the US
888-999-6288.