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Application Form

Thank you very much for your interest in cooperating with Pfizer! We have specified the areas in which we seek to create strategic partnerships in this brochure. Before submitting your idea we kindly ask you to read and agree to the "Guideline for the handling of submitted ideas".

Please note that this form is only intended for submitting partnering opportunities to Pfizer Pharma GmbH. This form should not be used for reporting adverse events, submitting resumes, seeking vendor or supplier contacts, etc.
For these types of request please use the appropriate contact forms which you can find under contact. Thank you for your understanding.

* Required

Opportunity Type (optional information)
Therapeutic Areas (optional information)
Highest Development Phase (optional information)
Contact Information
Information about your product/technology
Patent Information (optional information)
Have you filed a patent application for this product/technology?
Zustimmung der Richtlinien

By submitting this proposal to Pfizer, I represent and warrant that I have the authority to disclose this information to Pfizer. I acknowledge that I make this submission voluntarily. I agree that no relationship is established or implied by Pfizer’s acceptance or evaluation of the submitted material, and that Pfizer shall have the right to retain this proposal and submitted material if it chooses to do so. Pfizer shall not be obligated to specify the reasons for any decision it makes regarding the idea or to reveal any past or present activities that relate to the idea.

1 Source: Member States of the United Nations. Online in Internet: http://www.un.org/en/member-states/ [26.08.2016, 12:00]

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