Baxter - ACE registration form

If you register to the webinar, we will process your personal data in accordance with our Privacy Notice available here.

You need to agree to Baxter processing your data in order to attend the webinar. You may withdraw your consent anytime by writing to us at privacy@baxter.com. You may additionally agree to Baxter processing your data for other purposes below.

Full Name*

First NameLast Name

Email Address*

example@example.com

What is your discipline?*

What is your area of interest e.g. breast cancer?*

Please provide name of the hospital you work at below:*

Please provide your country name below:

View the Privacy Notice

I confirm that I have received the Privacy Notice (link above) and consent to receive communications regarding this event.*

Yes, I consent

If you want to receive information about future similar activities or other electronic marketing communications about our products, services and events, as per our Privacy Notice, please select a consent option below. Please select your consent option*

Yes, I consentNo, I do not consent