Jenx Webinar - Sign Up Form

Once you have registered, you will receive a link and joining instructions.

Question Title

* 1. Title

Other (please specify)

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* 2. First Name:

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* 3. Last Name:

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* 4. Email Address:

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* 5. Your Role:

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* 6. Job Title

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* 7. Who do you work for?

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* 8. Primary Address:

Address:

Town/City:

County:

Postcode:

Country:

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* 9. Contact Number:

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* 10. Is there a particular product or range of products that you would like to see from Jenx, that we don't already provide?

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* 11. Are you an existing Jenx/Jiraffe customer?

Yes

Question Title

* 12. Would you like to receive Jenx/Jiraffe email updates focused around products, competitions and clinical research?
By confirming 'Yes', you agree to be included on a distribution list to receive marketing updates from Jiraffe, which you can unsubscribe from at any point in the future.

Yes

Once you have registered, you will receive a link and joining instructions.

The demonstration will be held on Microsoft Teams, which can be accessed from any PC, laptop or smart phone with internet access. You do not need an Microsoft Teams account to access the demo.

Please note - the webinar will be recorded and used on our social media channels.

Question Title

* 1. Title

Question Title

* 2. First Name:

Question Title

* 3. Last Name:

Question Title

* 4. Email Address:

Question Title

* 5. Your Role:

Question Title

* 6. Job Title

Question Title

* 7. Who do you work for?

Question Title

* 8. Primary Address:

Question Title

* 9. Contact Number:

Question Title

* 10. Is there a particular product or range of products that you would like to see from Jenx, that we don't already provide?

Question Title

* 11. Are you an existing Jenx/Jiraffe customer?

Question Title

* 12. Would you like to receive Jenx/Jiraffe email updates focused around products, competitions and clinical research?By confirming 'Yes', you agree to be included on a distribution list to receive marketing updates from Jiraffe, which you can unsubscribe from at any point in the future.

* 12. Would you like to receive Jenx/Jiraffe email updates focused around products, competitions and clinical research?
By confirming 'Yes', you agree to be included on a distribution list to receive marketing updates from Jiraffe, which you can unsubscribe from at any point in the future.