Option
|
Description
|
Sponsor Name
|
Name of the organization that is sponsoring the study.
|
Program
|
Name of the program.
|
Therapeutic area
|
Medical area that is being investigated by the study.
|
Note
|
Additional information you may want to include.
|
Address 1
|
Sponsor street address.
|
Address 2
|
Additional address information.
|
City
|
City.
|
State
|
State (United States).
|
Zip code
|
Zip code (United States).
|
Province
|
Province (outside the United States).
|
Postcode
|
Postcode (outside the United States).
|
Country
|
Country.
|
Phone
|
Telephone number.
|
Alt phone
|
Alternate telephone number.
|
Fax
|
Fax number.
|
Email address
|
Email address.
|