Registration information:
Business Email (Please provide your business email address; system does not accept personal email domains)
First Name
Last Name
Job Title
Company
Country Albania Andorra Armenia Austria Azerbaijan Belarus Belgium Bermuda Bosnia and Herzegovina Bulgaria Burundi Croatia/Hrvatska Cuba Cyprus Czech Republic Denmark Estonia Falkland Islands Faroe Islands Finland France Germany Gibraltar Greece Greenland Guernsey Hungary Iceland Ireland Isle of Man Italy Jersey Latvia Liechtenstein Lithuania Luxembourg Macedonia Malta Moldova, Republic of Monaco Montenegro Netherlands Norway Poland Portugal Romania Russian Federation Saint Pierre and Miquelon San Marino Serbia Slovak Republic Slovenia Spain Svalbard and Jan Mayen Islands Sweden Switzerland Turkey Ukraine United Kingdom (GB) Vatican
Work Phone
Cell Phone (Cell will only be used if necessary for important Summit-related SMS messages)
Is your role primarily Business or IT focused? Business IT
Job Function Clinical Data Clinical Operations IT Quality and Manufacturing Regulatory Safety Other
Primary Track of Interest Clinical Data Management Clinical Operations Quality Regulatory Safety Vault Platform
Have you attended a Veeva Summit previously? First-Time Attendee Repeat Attendee
Would you like to receive the Summit attendee gift? (IF YES) Please provide your mailing address so that we can send it to you after Summit. Yes No
Address
City
Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory Virgin Islands (British) Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Republic of Cook Islands Costa Rica Croatia/Hrvatska Cuba Curaçao Cyprus Czech Republic Cote d’Ivoire Congo, Democratic Republic of Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia South Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federal State of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Korea, Republic of Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russian Federation Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Virgin Islands (USA) Uganda Ukraine United Arab Emirates United Kingdom (GB) US Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Aland Islands Bonaire, Sint Eustatius and Saba Bouvet Island Canary Islands Ceuta and Melilla Georgia Heard Island and McDonald Islands Hong Kong Korea, Democratic People’s Republic of Kosovo Saint Martin (French) Sint Maarten (Dutch)
Zip/Postal Code Please note that your home address will be deleted from our system and our vendor's system once your giveaway has been shipped. Value of the giveaway will not exceed $20.
I want to receive Summit related notifications from Veeva and other marketing information: similar events, webinars, or other product news. Yes
Would you like to opt-out of in-platform networking? Yes, please remove me from in-platform networking. In-platform networking will allow you to connect with other attendees from within the event platform on the day of the event.
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