Member Registration

Please ensure you're registering for the correct account. Check alongside. You don't need to provide all your details now, as you can ammend these from your myAccount section.

Create a Corporate Account for you Business on Medika Life by completing the fields below.

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Username^*

Password^*

Password must be at least 7 characters long.

Enter password again^*

Password must be at least 7 characters long.

Account Email^*

Please ensure you have access to this email address. It is for managing your account

First Name

This is Medika's Contact person within your business that will administer the account

Last Name

This is Medika's Contact person within your business that will administer the account

Business Name

Website

Business Bio

Keep this to around six to eight lines of text

Business Contact Email

Industry Sector

Describe the sector/s that best apply to your business

Add your business contact information below. All these fields are visible to the public.

Facebook

Twitter

YouTube

Phone Number

Address

The information provided below is optional but allows Medika to correctly place your Press Releases and recommend your services across the platform. This information is not visible to the public.

We sell or offer

Please select the most applicable

Client Source

Contact Email

Alternate email for Medika use

Contact Person

A contact person for Medika within your business.

Contact Cell

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Medical and Healthcare Professionals

Pharma and Medical Businesses

Medika Editorial Team

Member Registration

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Compliance

CORPORATE & MEDIA

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