Contact Information page
On this page, you set up your contact information. This form should already be filled in with the contact information provided to the sponsor during the design phase of the study. Check the information on this page to make sure it is accurate.
Fields on this page
This table describes the default fields for this page. Your study might require different fields, and those fields could have different names.
Field
|
Description
|
Notes
|
First Name
|
Your first name.
|
|
Middle Initial
|
Your middle initial.
|
|
Last Name
|
Your last name.
|
|
Title
|
Your title.
|
|
Company
|
The company that you work for.
|
|
Email
|
Your email address.
|
REQUIRED.
For:
|
Phone Number
|
Your phone number.
|
Must be a valid phone number:
- Numeric.
- If international, the initial characters must be 01 or 11.
|
Fax Number
|
Your fax number.
|
Leave blank.
Note: Fax service is retired.
|
Address
|
Your address: Street number.
|
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City
|
Your address: City.
|
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State
|
Your address: State.
|
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Zip
|
Your address: Zip code.
|
|
Country
|
Your address: Country.
|
|
Language
|
Your preferred language.
|
|
Time Zone
|
The time zone where you are located.
|
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Phone Date Format
|
The format for entering the date.
|
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