Here to keep you Hearing Registration - 23.06.21

Wednesday 23rd June 17:00 - 17:40

Please complete all fields below as this will enable us to plan the webinar accordingly.

We look forward to welcoming you on the day. Should you require any further information in advance please do not hesitate to get in touch with us by using the contact details below:

Freephone - 0330 123 5601*

Email - conferences@medel.co.uk

*please check with your network operator as fees may apply

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First Name

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Surname

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Address (Please only provide your address if you are happy to receive a webinar giveaway)

Address

Address 2

City/Town

Post Code

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Email address

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How did you hear about this webinar?

Through my clinic

Eventbrite

Facebook

MED-EL Website

Other (please specify)

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Have you previously attended one of our webinars?

Yes

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Are you a candidate, exsisting user or care provider?

Candidate

User

Care Provider (Adult)

Care Provider (Child)

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Which implant are you currently using or considering?

Cochlear Implant

Middle Ear Implant (VIBRANT SOUNDBRIDGE)

Bone Conduction (BONEBRIDGE)

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Please let us know what you would like to take away from this webinar?

*Privacy Notice
The information we capture in this form will only be used in conjunction with the event or open day that you are signing up for. Once that purpose is complete, we will delete your data within 6 months.
You can view our full privacy policy here: https://www.medel.com/en-gb/privacy-policy
If you have any questions or would like your data deleted, please contact: conferences@medel.co.uk

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If you would like us to communicate on any future candidate events please click here

Yes

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If you would like to receive general updates from MED-EL please click here.

Yes