Get in touch General enquiry Investor Partner Media First Name* Last Name* Email* Country* What type of Investor are you:* --None-- Retail Investor Sophisticated, Professional or Wholesale Investor as defined by the Corporations Act 2001 Company name* Company Role* Phone* What type of investments are you interested in?* Consumer Healthcare Healthcare Impact Medical Devices Medical Software Private Equity Unlisted Please select at least one option. In submitting this application form, the undersigned certifies and represents that, to the best of its knowledge, the information contained in this application form is complete, accurate and not misleading in any material respect. Rapid Response Revival needs the contact information you provide to us to contact you about our products and services. You may unsubscribe from these communications at any time. For information on how to unsubscribe, as well as our privacy practices and commitment to protecting your privacy, please review our Privacy Policy. First Name* Last Name* Email* Company Name* Job Title* Website* Year Company Established* Company Address* State/Region* Zip Code* City* Country* Number of Employees* --None--Less than 10 10-19 20-49 50-199 200-1000 More than 1000 Are You Currently Distributing AEDs?* --None--Yes No How many offices does your company have?* How many different product lines does your company currently distribute?* What are your top market segments?* What is the primary country your company operates in?* What is the second country your company operates? If applicable. What is the third country your company operates? If applicable. What medical device regulation do you operate under?* CE (Europe) FDA (USA) TGA (Australia) CMDR (Canada) PMDA MFDS (Korea) ANVISA (Brazil) Other Please select at least one option. Is English the primary language regulated for AEDs in your region of operation? --None--Yes No When will you be ready to introduce CellAED to your customer base? Please write the month and the year. In submitting this application form, the undersigned certifies and represents that, to the best of its knowledge, the information contained in this application form is complete, accurate and not misleading in any material respect. Rapid Response Revival needs the contact information you provide to us to contact you about our products and services. You may unsubscribe from these communications at any time. For information on how to unsubscribe, as well as our privacy practices and commitment to protecting your privacy, please review our Privacy Policy. If your enquiry is about an editorial media enquiry, speaking opportunity, content or content ideas for the RRR blog or would like an editorial or blog contribution from RRR contact us: First Name* Last Name* Email* Contact Number* Organization you represent* Short description* Rapid Response Revival needs the contact information you provide to us to contact you about our products and services. You may unsubscribe from these communications at any time. For information on how to unsubscribe, as well as our privacy practices and commitment to protecting your privacy, please review our Privacy Policy. Contact Name * Email * Phone Company Description *
