Clinical Automation Summit

PRESS ROOM

PRESS REGISTRATION FORM

All fields are required This form is for press only.
Name:
Title:
Publication:
Address: City/State/Zip:	,
Telephone:
Fax:
E-Mail:
How did you find out about this conference?
Subscriber base:	Controlled Paid (Cost of annual subscription: )
Circulation figure:
Please describe your subscriber profile:
Disclaimer: This registration is subject to approval based on submission of the following information: publication masthead or business card, circulation figure, subscriber profile, and please indicate whether the subscriber base is controlled or paid, and the price. Please fax the above information to 800-250-1811 or 212-803-8515. All of the requested information must be submitted in order to be considered for approval. Upon receipt and approval of all required information, your registration will be confirmed within 3-5 business days. Only editorial staff affiliated with a publication will be considered for press passes. Freelance journalists, business staff, and research analysts are not eligible for press credentials to SourceMedia Events. Only one press pass per publication will be approved. Thank you for considering a SourceMedia Event.