|
Date of birth:
|
-
-
*
|
|
|
I agree that the information I am providing may be used
by Novo Nordisk or third parties working on its behalf for business purposes, including
providing me with support literature and special offers, contacting me regarding
research or opportunities that may be of interest to me, and marketing or advertising
products, goods or services. Under no circumstances will Novo Nordisk sell,
rent, or lease my personal information to others. Novo Nordisk will take appropriate
measures to protect my information, and I can stop all use of my information by
Novo Nordisk by calling 800-727-6500 or by clicking on the "unsubscribe" link in
any future email communications. I certify that I am at least eighteen (18) years
of age.
|