Registration

H.C. Wainwright Virtual Conference -- Psychedelics in Psychiatry and Beyond - June 17, 2021

	Company Registration Please complete this form for each conference attendee, including speaker(s) using their own individual email address. A form must be completed for each attendee, including the speaker(s).

	Company Name Required


	Ticker


	First Name Required


	Last Name Required


	Title Required

	Enter a valid email address.
	Email (use individual's own unique email address) Required

	Enter a valid phone number.
	Mobile Number Required


	Are you a presenter on behalf of your company? Required


	Assistant's Name

	Enter a valid phone number
	Assistant's Phone

	Enter a valid email address.
	Assistant's Email

	Current mailing address (Specify if home/office. If office, please add company name in address 1 field)

	Address1


	Address2


	City


	State


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	Country
	REGISTRATION INFORMATION • For Qualified Investors Attendance is FREE-OF-CHARGE. • Registration subject to verification of credentials; we do not accept registrations from individuals or companies offering competitive services. • Notice: H.C. Wainwright reserves the right to return/cancel any registration. • Cancellation: If HCW cancels the Virtual Conference, HCW shall NOT be liable for any costs incurred by conference attendees. • Date Change: The Virtual Conference schedule is tentative and subject to change without notice. © Copyright 2021 – H.C. Wainwright & Co. 430 Park Avenue, New York, New York 10022 QUESTIONS/COMMENTS: Please contact Lily Khaykina at 212-356-0529; or email LK@hcwco.com This communication is for informational purposes only. It is not intended as an offer or solicitation for the purchase or sale of any financial instrument or as an official confirmation of any transaction. Since H.C. Wainwright & Co., LLC is not a tax advisor, transactions requiring tax consideration should be reviewed carefully with your tax advisor. All market prices, data and other information are not guaranteed as to completeness or accuracy and are subject to change without notice H.C. Wainwright & Co., LLC., Member FINRA, SIPC. Privacy Policy \| Business Continuity Plan \| Electronic Communications \| DMCA Policy \| Contact Us Member FINRA \| SIPC \| Rule 606 Reports \| Rule 606 Reports Archive \| BrokerCheck \| Terms of Use \| Disclosures