Pulmonx Event Registration Information

Registration for WCBIP Workshop

"*" indicates required fields

First Name*

Hospital or Practice Name*

Last Name*

Country*

E-Mail*

What is your speciality?*

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Do you have any dietary requirements?

Additional Comments

I hereby agree that Pulmonx International Sàrl contacts me via email about treatment methods, further information material, invitations to upcoming events as well as surveys and processes my personal data for the purposes stated above. I can withdraw my consent anytime by clicking on the opt-out link provided in the emails.*

Yes

*Required

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Entry Date