Health Systems Channel Strategies Conference Opt-In

Complete this form to receive information about HIDA's new Health System Channel Strategies Conference, January 30-31, 2018, in Coral Gables, Florida.

Question Title

1. Please enter your information into all of the below fields:

Name:

Title:

Company:

Email:

Address:

City:

State:

Zip:

Country:

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2. Phone number:

Work:

Cell:

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3. I work for a:

Manufacturer

Distributor

Group Purchasing Organization

Regional Purchasing Coalition

Provider

Other (please specify)