Please fill in contact details below.  Information below is pulled from your member or guest profile.  Some fields can not be updated, please contact to update those fields.

Any updates you make to the below profile fields will update your member profile in the directory.  Do not change any information to another person as your profile will be removed.

Fields with a * are required.

Please use your email address as a username.

Client/Manufacturer - An end-user/purchaser of insights, intelligence and/or data services from suppliers / consultants 
Biotech, Diagnostics, Medical Device, Pharma 
Supplier - A provider/seller of insights, intelligence and/or data services to clients and/or other suppliers 
Full Service & Consultancies – A provider/seller of insights, intelligence and/or data services to end clients; can also be end-user/purchaser from B2B providers. Example: full service consultancy who contracts with facilities, list providers, etc. 
B2B: Technology Services/Sample/Panel Provider
 - A provider/seller to consultancies. Examples: a facility, ad-hoc qual/quant services, video streaming 
Student / Academia / Association
 - An individual who is an educator or student at an accredited college or university; or an employee at a non-profit association.

If you are a student or educator please enter your University name

You may leave blank if you do not have a state.

This information will show in your member directory.  Max 100 words

The Young Professionals have updated their committee name to Intellus Future Leaders Council.  Please complete the questions below to join this committee or receive communications for upcoming events they are planning to hold.

Intellus Future Leaders Council members are defined as 35 years and under or less than ten years in the healthcare marketing research industry.


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