Clarivate Analytics

First Name*

Last Name*

Email Address*

Job Role*

Organization Name*

Organization Type*

City*

Country/Region*

State or Province*

Business Phone*

Please check this box to receive emails from Clarivate Analytics. You can unsubscribe at any time.

* SBU of Lead¬

* Last Product Interest¬

To find this, go into SFDC and go to the Campaign, copy and paste the 15-digit ID from the Address Bar. e.g. If address bar is https://na5.salesforce.com/70170000000IXom, insert ONLY 70170000000IXom.

To which campaign do you want this lead attached? Please insert the EXACT campaign name.

* Lead Source - Most Recent

Description of what triggered creation of this lead. This information will appear on the contact/lead records. Maximum 100 characters.

Full name of event/webinar for MailMerge, as it will appear in the confirmation

Shortened URL for uploaded iCal file for MailMerge

Date and time of event for MailMerge - e.g. "January 1, 2018 | 1:00pm EDT"

Web of Science Update

What is the webinar about?

Speaker

Event Details

What topics will be discussed?