Membership Form – Canadian Antimicrobial Innovation Coalition

Become A Member

Name*

Organization*

Phone Number*

E-mail*

Organizational focus

Pharmaceutical

Diagnostic

Medical research

Academic

Innovation

Other

Company size

Under 200 employees

Over 200 employees

Just in case we cannot reach you, is there a second contact in your organization you would like to list on your profile?

Which subgroup would you like to participate in? (You can pick one)

Market barriers & market access

Research & development

Regulatory challenges

I do not need to join a sub-group

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For more information, please contact: