DEBRA UK Researchers Database Collection Form

Please leave your contact details if you would like to be kept informed of research funding opportunities. We may also contact you with requests to review applications/manuscripts in your area of expertise. We will not contact you for reasons that fall outside the scope of this legitimate interest. 

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* 1. Preferred contact name and title:

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* 2. Email address (required):

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* 3. Position/Job Title:

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* 4. Institution/Employer:

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* 5. Phone number you are happy to be contacted on (optional):

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* 6. Your areas of expertise (please select all that apply):

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* 7. Thanks for leaving your details. Please confirm that you are happy to be contacted by our Research Team using the email address and telephone number you have provided.

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