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The following form will aid MedCity in creating your profile and determining how best to help you and your company.
Company name
*
Website URL
*
Company Twitter handle
LinkedIn company page
Country/Region
*
City
*
Stage of Investment
Please Select
Pre-seed
Seed
Series A
Series B
Not Seeking Investment
Which area does your company work in?
*
Advanced Therapies (Cell and Gene Therapy, Regenerative Medicine, etc)
Consultancy/Advisory
CMO
CRO
Diagnostics
Digital Health
Equipment & Consumables
Legal
Medical Device
Pharma/Biotech
Regulatory
Comms & BD
No Specific Category
Describe your company in 25 words or less
*
Job Title
*
Number of Employees
*
Please Select
1-10
10-50
50-100
100-249
250+
What is the primary area of MedCity support you are interested in?
*
Please Select
Access to finance
Exploring a collaborative research opportunity
Support in bringing your diagnostic technology to market
Networking across the advanced therapies landscape
International expansion
Finding lab space
Finding office space
Please outline any other areas MedCity could support you in.
Access to finance
Exploring a collaborative research opportunity
Support in bringing your diagnostic technology to market
Networking across the advanced therapies landscape
International expansion
Finding lab space
Finding office space
First name
*
Last name
*
Email
*
Phone number
How did you hear about the MedCity Community?
Would you like to receive MedCity's monthly newsletter?
*
No
Yes
Would you consider your business to be Black, Asian or Minority Ethnic
owned (i.e. over 51% shares, ownership or management)?
Please select
from drop down list
Please Select
Yes
No
Prefer not to say
What is the ethnicity of the business ownership?
Please select from drop down list
Please Select
White
Black/African/Caribbean/Black British
Asian/Asian British
Another Ethnic Group
Prefer Not to Say
What is the gender majority of the ownership (i.e. a business with over 51% shares, ownership or management)?
Please select from drop down list
Please Select
Male
Female
Other
No Clear Majority
Prefer Not to Say
Is the business partly or majority owned by a person with a disability? Please select from drop down list
Please Select
Yes
No
Prefer Not to Say
By ticking this box, you give permission for MedCity to use your submitted details to invite you to join the MedCity Community platform.
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