Affiliation Partner – Application form

EMA AFFILIATION PARTNER APPLICATION FORM

You can apply to become an Affiliation Partner by completing this application form. To ask a question about the EMA Affiliation Partnerships, please email to [email protected] or call 0203 916 5516.

  • (Please tick one)

  • Company details

  • Main contact

    (This person will be the main point of contact to arrange and manage the Affiliation Partnership benefits with a member of the EMA Team)

  • Invoicing details

  • Max. file size: 100 MB.
  • This field is for validation purposes and should be left unchanged.