Post- ACTRIMS Forum Patient Focused Webinar Registration

Contact information provided below will be used by ACTRIMS to share webinar connection information with the registrants and connect registrants for additional opportunities provided by ACTRIMS. Contact information will not be shared outside of ACTRIMS.

First Name

Last Name

Affiliation (if applicable)

Email Address *

City *

State/Province

Zip Code *

Country *

I am a(n): *

I will be attending: *

Webinar #1 (clinical focus) - Wednesday, March 13, 2024 at 6pm CT

Webinar #2 (general focus) - Wednesday, March 20, 2024 at 6pm CT

Both