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Campaign for Truth in Medicine

CTM provides information to its members in two ways:

1) Through its web-site

2) Through EClub, a monthly internet intelligence bulletin

By completing the form below, you will automatically receive EClub.

The form below is for registering your business as a member and affiliate of CTM absolutely free. If you are an individual please click here to return to the previous form. (note; if you have already registered as an individual but also have a business, we would like include your company as an affiliate but please let us know so that we do not have duplication in our mailing list)

All information submitted remains confidential

 


Company Name:

Your Name:

Title: Mr. Mrs. Ms. Miss Sir Dr.

Your Position in the Company (ie; owner, partner, corporate officer, etc.):

Suite number/name, street:

City: 

County/Province/State:  Country:  Postcode/Zip: 

Company website URL, www.

E-mail: 

Phone: Fax:

How did you hear about CTM?


Please tell us briefly what is the type of business: (ie; health product manufacturer, medical clinic, etc.)

Please give us your comments on the CTM Mission:

We would like to include your comments and a link to your URL on our website.

Please tick the appropriate box. May we use your comments and URL ? YES- NO-