2024 Best Innovation in Medical Technology/Life Sciences

Award is specifically for innovation in the medtech/life science field.

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* 1. Your Name

First Name

Last Name

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* 2. Name of Nominated Company

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* 3. Have you been nominated for an HTA Award in the past two years?

Yes

No

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* 4. Please describe your connection to Orange County. (Headquarters, local office, investors, CEO based)

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* 5. Name of innovative product in medtech/life science.

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* 6. Describe what makes your product innovative.

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* 7. Why do you believe your company and/or product should be nominated in this category?

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* 8. What medical need is your product solving?

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* 9. Is there any additional information you would like to include?

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* 10. Please provide name of executive to reach out to for interview.

First Name

Last Name

Title

Email

Phone Number

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* 11. Please provide name and contact information for a marketing contact.

Name

Company

Email Address

Phone Number

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* 12. Opportunity to upload any additional information

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.