MedAlliesWorld®

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Global Healthcare Markets Media Pre-Registration

For community growth membership, corporate sponsorship and strategic partnership packages, please complete this form and submit without charge, Once verified, a representative will contact you to confirm membership, sponsorship and partnership options available in your region.

Step 1 - Business / Company Information

Write your business / company name as you would like displayed in your advertisement or news / media publications.

Select your industry classification. This information is necessary to ensure that your business is listed within the correct industry sector of G.H.M. Media.

The name will display as provided under online listings / searches.
Select the main industry classification.
Step 2 - Select your company’s target market / business specialties

Select 1 to 3 specialties that best describe your brand. You will be able to log additional specialties after full activation of your G.H.M. Membership.

If you are not sure what classification to select, please select “OTHER”.

This is a multiple selection. Hold down the control / command button to select multiple options.
Step 3 - Business Address / Contact Information

This information is used for:

  • Listing your business;
  • Verifying your identity;
  • Providing and administering your products & services, including directory services and advertising in G.H.M. Media;
  • Identifying opportunities to improve our products & services through technology;
  • Helping to maintain and develop our system infrastructure;
  • Promoting and marketing our current and future services.

Step 4 - Contact Person

This personal information is used to process any request you may have, and as point of contact in case we need to contact you about your account.

Step 5 - Basic Membership Fee / Yearly

Select your registration package.

Step 6 - Payment Method

Upon receipt of your pre-registration form, you will be contacted by a representative. We will submit an appropriate invoice following verification and live discussions.

Step 7 - Submit the Form

Please use this final step to review and ensure that all the information provided on the previous steps are correct. Read all Policies and Regulations.