ePharma Pioneer Club™ Membership Form

1. Introduction

 
The ePharma Pioneer Club™ is an EXCLUSIVE, members-only Facebook Group of pharmaceutical e-Marketing experts and evangelists who are dedicated to advancing the use of the Internet and other technologies in pharmaceutical marketing, sales, and communications.

Club activities also include a Blog and discussion board where you can learn about other members, contribute to the discussion, or read news and views of members. To learn more about the Club, visit the Web site here.

Please fill out this membership form so that we can learn more about you and update our membership list.

If you have any questions, please send an e-mail message to info@pioneers.pharma-mkting.com

*
1. Please provide the following information so that we may contact you in relation to your Club membership.
There are four criteria for membership in the ePharma Pioneer Club. You have to meet one or more of these criteria to be an active member of the Club and be eligible for the highest honors bestowed upon Club members.
  1. A passion to engage, educate, and entertain through digital media,
  2. Long-standing involvement in the field of pharmaceutical e-Marketing or e-Communication,
  3. Specific experience developing or using innovative digital media, and
  4. A need to help pharmaceutical marketers achieve success in the "e" realm.
2. I satisfy AT LEAST ONE of the above criteria and wish to be a member of the Club!
Powered by SurveyMonkey
Check out our sample surveys and create your own now!