AI Wellness Integrative Oncology Conference Submission Form

Join AI Wellness at the Integrative Oncology Conference

Complete this form to register for the conference, express interest in partnership opportunities, or learn more about featuring your brand or expertise with AI Wellness. Your responses will help us tailor an experience that aligns with your needs and goals.
What is your primary reason for filling out this form?*

Register as an AttendeeBecome a Brand PartnerFeature My Brand on AI Wellness TVCollaborate as a Wellness ExpertMedia and Press InquiriesVirtualOther
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Organization/Clinic/Company Name*
Professional Title or Role*
LinkedIn Profile or Professional Website
Please provide a brief bio or description of yourself/your company.
Select Your Desired Day(s) to Attend the Wellness Lounge

Friday, October 25, 2024Saturday, October 26, 2024
Preferred Time Slot for Your Visit
Attendee type*

ClinicianResearcherPatient AdvocateGeneral Public
Which sessions or bundles are you most interested in?

Metabolic and Musculoskeletal WellnessSculpt and Beauty TransformationSpirit RevitalizationNutritional WellnessPrecision MedicineAt Home Digital Ally ScreenAI Wellness TV Filming
Would you like to participate in the Wellness Raffles?*

YesNo
Do you have any special needs or accessibility requirements?
Describe Your Brand/Product and How It Aligns with Integrative Wellness.
Which Engagement Opportunities Are You Interested In?

Product Display in the Wellness LoungeBrand Feature on AI Wellness TVSponsorship OpportunitiesCo-hosting a Session or WorkshopCollaborations with Experts
Upload Your Product Brochure or Marketing Materials

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Do You Have Any Additional Requests or Requirements?
Select Your Desired Day(s) to Showcase Your Brand at the Wellness Lounge*

Friday, October 25, 2024Saturday, October 26, 2024
Preferred Time Slot for Engagement and Setup*

Morning (9 AM - 12 PM)Afternoon (12 PM - 3 PM)Evening (3 PM - 6 PM)All Day
Describe Your Brand/Product and Proposed Infomercial Content*
Preferred Media Format for Feature (Live Interview, Product Showcase, etc.)*

Live InterviewProduct ShowcaseSponsored SegmentOther
Are You Interested in Filming On-Site During the Conference?*

YesNo
Upload Your Brand Logo and Relevant Media Assets*

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Preferred Day(s) for Filming and On-Site Presence*

Friday, October 25, 2024Saturday, October 26, 2024
Preferred Time Slot for Filming*

Morning (9 AM - 12 PM)Afternoon (12 PM - 3 PM)Evening (3 PM - 6 PM)All Day
Select Your Area of Expertise for Collaboration*

Mind WellnessBody and Beauty TransformationAnti-Aging and Regenerative MedicineMental Health and Emotional Well-beingNutrition and DetoxPrecision MedicineOther
Describe the Modalities or Treatments You Wish to Feature*
Preferred Collaboration Activities*

Live DemonstrationsEducational WorkshopsPanel DiscussionsDigital Avatar CreationMedia Interactions
Availability for an Initial Discussion*

MonthDayYear
Date
Do You Have Any Specific Requirements for Your Setup?
Select Your Desired Day(s) to Present and Engage in the Wellness Lounge*

Friday, October 25, 2024Saturday, October 26, 2024
Preferred Time Slot for Presentations and Engagements*
Media Outlet/Publication Name*
Type of Coverage Interested In*

Interview with AI Wellness ExpertsEvent CoverageProduct FeatureBehind-the-Scenes Access
Upload Your Media Credentials or Press Pass

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Preferred Day(s) for Coverage and Interviews*

Friday, October 25, 2024Saturday, October 26, 2024
Preferred Time Slot for Interviews and Coverage*
Additional Information or Requests
Thank You for Your Submission!

We appreciate your interest in joining AI Wellness at the Integrative Oncology Conference. Our onboarding team will review your submission and reach out to you shortly to discuss the next steps. If you have any questions or need further information, please contact us at info@aiwellness.ai.
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Join AI Wellness at the Integrative Oncology Conference