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MAGI@home 2025 Virtual Conference
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
3.
Credentials and Designations
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4.
Current Organization
(Required.)
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5.
Current Title
(Required.)
6.
Organization Type
Academic
Consultant
CRO
Network
Service Provider
Sponsor
Site
OTHER
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7.
Work Email
(Required.)
8.
Personal Email
9.
Work Phone
10.
Mobile Phone
11.
LinkedIn Profile
12.
What topic(s) are you qualified and interested in speaking about?
Billing Compliance
Budgets
Clinical Operations
Contracts
Quality / Regulatory
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13.
Please provide details about the topics you are interested in being considered to present.
(Required.)
