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Medilink Membership Application Form

Medilink aims to help our members become more innovative, competitive and profitable. Becoming a member gives you access to our comprehensive industry knowledge, expertise and business support services.

A Customer Relationship Manager will get to understand your business needs and seek to translate these into opportunities. Being a part of our network enables us to provide you with industry knowledge and expertise, connect you to other members at events or facilitate mutually agreed introductions.

Our membership is open to life science organisations based in the North of England, including companies, academic institutions and NHS organisations. It includes:

• Medical device/technology (including IT and software), pharmaceutical, medical biotechnology companies and associated supply chain companies
• Suppliers of products and services to the sector, for example: R&D, CRO, designers, manufacturers, sub-contractors, regulatory specialists and distributors
• Life science business divisions (or units) of companies

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* 1. Organisation information:

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* 2. How many employees does your organisation have?

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* 3. How did you hear about Medilink?

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* 4. How would you like to pay?

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* 5. Who is the marketing/business development contact at your organisation?

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* 6. Who is the export contact at your organisation?

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* 7. Who is the R&D contact at your organisation?

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* 8. Who is the accounts contact at your organisation? (for invoicing purposes)

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* 9. Optional: Medilink offers commercial consultancy services to help members grow. Please tick the relevant boxes if you are interested in hearing more about our services and pricing:

Please provide some marketing information for your company.

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* 10. Please provide a 25 word profile for your company. This will be displayed on the Medilink website.

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* 11. Please provide your URLs for:

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* 12. As a member you will receive our e-communications. If you would prefer not to receive any of the following please opt out below by ticking the box you wish to opt out of.

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