ISPE Manuscript Endorsement Request Registration Form

Welcome! Please take a few minutes to complete the following form: this will help us respond to your manuscript endorsement request in a timely manner.

1. Title of Manuscript: *This question is required.

2. Name of Target Journal: *This question is required.

3. Corresponding Author’s First Name: *This question is required.

4. Corresponding Author’s Last Name: *This question is required.

5. Corresponding Author’s Affiliation/Organization Name: *This question is required.

6. Corresponding Author’s Affiliation/Organization Address: *This question is required.

7. Corresponding Author's Email Address (work): *This question is required. This question requires a valid email address.

8. Corresponding Author's Telephone Number: *This question is required.

9. Names of other co-authors:

10. Please upload a copy of your manuscript *This question is required.

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