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Submit Your Video

Thank you for your interest in participating to CONQUER: the patient voice’s web series, CONQUER Cam™!

Please submit your video by completing the submission form below. If you have any questions, please e-mail This email address is being protected from spambots. You need JavaScript enabled to view it..


Full name
E-mail address
Phone number
I’m a…
Years active
Diagnosis or
Disease state
Comments
Video file attachment

Please attach your video file. Your video must be:

  • Recorded in landscape (horizontal) orientation.

    Landscape Orientation

  • A maximum length of 5 minutes.
  • Submitted in .mp4 or .mov format.

Additionally, please wait 4 seconds at the beginning and end of your video to create a buffer.


Attach pictures

I hereby expressly grant CONQUER and its employees, agents, and assigns, the right to use my video, pictures, and other reproductions of my physical likeness (as the same may appear in any still camera photograph and/or motion picture film), in connection with exhibition, journal, website, or otherwise. Any of the video reproductions of my likeness may be used in the same way or incorporated in the advertising, exploiting, and/or publicizing of any such video promotion. I further give the said company the right to reproduce in any manner whatsoever any recordings made by said company of my voice produced by me.


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