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Thank You For Suggesting an Event!

ExL seeks to provide cutting-edge education to the Industry and recognizes that those within have the greatest perspective of their own informational and educational needs.

Please note that each topic suggested will be thoroughly researched. If we move forward with your suggestion, you will receive a complimentary attendee pass or an exhibit booth (service providers only) for the suggested event.

   
 
*First name:
* Last name:
*Job Title:
* Company:
* Address 1:
Address 2:
* City:
* State:
* Country:
* ZIP:
* Phone:
* Fax:
* Email:
* Event Title:
* Please describe the topic in as much detail as possible:
Target Audience: Please list whom you think this event would appeal to (ie: medical affairs, marketing, sales, R&D, etc.)
Suggested Speakers: Please list any speakers you wish to hear from on this topic. Please provide as much information as possible, including contact information.
*If you would like to nominate yourself, please make note of it below.

Suggested Exhibitors/Sponsors: Please note any solution providers you feel may be interested in having a presence at such a program. Please provide as much information as possible, including contact information.