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VIP registration form

Please complete this form if you are interested in joining MS-UK’s Virtual Insight Panel.

The information you provide here will be held securely in our database. Some of the information we request is used so we may keep in contact with you, the rest will be used so we may proactively aim to ensure that the demographics of the panel reflect those of the population affected by MS.

The information you share here will be treated confidentially. We will not share any personal data you give us with others, including fellow members of the Virtual Insight Panel.

We will also not share any insight you later give that may enable a third party to identify you unless you give us permission to do so.

 

Thank you!

Once received, we will confirm safe receipt of your completed registration form and will introduce you to the panel. We look forward to greeting you.