The TechMed Event

Personal information

First name:

Last name:

My organisation:

Contact e-mail:

Event related questions

I would like to attend the event live:

Yes

No

Would you like to request an interview with speakers and/or other event stakeholders?

Yes

No

Which speaker(s)/stakeholder(s) would you like to request an interview with?

Do you have a desire to create footage during the event?

Yes

No

You have indicated that you would like to create footage during the event. Can you describe in the questions below what kind of footage you would like to make and for what purpose?

Description footage:

Purpose footage:

Can you indicate how and when the prepared item will be published?

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Final comment(s):