SEGM 2024

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Reimbursement Form

**Heads Up: This form must be filled after the event.

Reimbursement Form

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Event Name: Unlocking Clinical Trials: From Design, to Participation and Beyond

6th and 7th December 2024
Lisbon, Portugal

Submitter's Information

Member's Information*
Select the Association you belong
Select your position in the Association
Enter a valid email address, and be aware of any typos.
Please don't forget to add the country code