Register Your Way
Click: http://ispe.org/2016-feb-tampa-training
Fax: +1-813-986-1093
Mail: ISPE
600 N. Westshore Blvd. Suite 900
Tampa, FL 33609
Call: +1-813-960-2105
Email: ask@ispe.org
ISPE Training Institute Registration Form
February 2016
ISPE Training
600 N. Westshore Blvd, 9th Floor
Tampa, FL 33609
HOW TO REGISTER
Registration fees include course materials, refreshment breaks and lunches. Hotel accommodations and hotel fees are separate.
First Time Attendee ______
ISPE ID #
New Member _____
Check here if you were previously an ISPE Member ________
First Name
MI
_Last Name
Informal Badge Name
Chapter/Affiliate
Job Title
Email Address
Company
Business Address
City
State/Province
Zip+4/Postal code __________Country____________
Business Tel
Business Fax
Emergency Phone for last minute meeting updates
or Home Phone
_______
I wish to keep my data confidential and it is given only for use by ISPE and its local Chapters and Affiliates _____
(This will exclude you from the conference Attendee Listing, Member Directory and Exhibitor Listing.)
Use the Early Bird Promo Codes at checkout to receive a $200 discount, if you register on or before the expiration date.
Member
Early Bird Promo Code:
FEB16GROUP1
T14
1-3 Feb
HVAC
T31
4-5 Feb
Biotech Process
Validation
Early Bird Promo Code:
FEB16GROUP2
T46
8-10 Feb
PV Lifecycle
Early Bird Promo Code:
FEB16GROUP3
G07
22-23 Feb
Auditing
T19
25-26 Feb
Technology
Transfer
Early Bird Promo Code:
FEB16GROUP4
T21
29 Feb-1 Mar
New Member*
(Includes 1 year membership)
Early Bird
After
Expires 4 Jan
4 Jan
Early Bird
Expires 4 Jan
After
4 Jan
$2,150
$2,350
$2,434
$1,800
$2,000
Early Bird
Expires 11 Jan
Non-Member
Total US $
Early Bird
Expires 4 Jan
After
4 Jan
$2,634
$2,560
$2,770
$2,084
$2,284
$2,190
$2,400
After
11 Jan
Early Bird
Expires 11 Jan
After
11 Jan
Early Bird
Expires 11 Jan
After
11 Jan
$2,150
$2,350
$2,434
$2,634
$2,560
$2,770
Early Bird
Expires 25 Jan
After
25 Jan
Early Bird
Expires 25 Jan
After
25 Jan
Early Bird
Expires 25 Jan
After
25 Jan
$1,600
$1,800
$1,884
$2,084
$1,980
$2,180
$1,700
$1,900
$1,984
$2,184
$2,085
$2,295
Early Bird
Expires 1 Feb
After
1 Feb
Early Bird
Expires 1 Feb
After
1 Feb
Early Bird
Expires 1 Feb
After
1 Feb
GAMP 5
Process Control
Systems
$1,700
$1,900
$1,984
$2,184
$2,085
*For Government rates please contact Member Services at 813-960-2105 or email ask@ispe.org
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$2,295
Special Requirements: If you require special accommodations to participate, provide a written description with your registration form
and contact member services or email ask@ispe.org with questions. For details on group discounts, contact ISPE Member Services.
SPECIAL LUNCH REQUIREMENT** (Vegetarian, Kosher, Gluten Free, Allergy) – Please Specify ______________ ** Additional fee
may apply
PAYMENT METHOD — REGISTRATIONS REQUIRE PAYMENT ATTACHED
Substituting for
Promo Code _____________________
(NONMEMBERS SUBSTITUTING FOR A MEMBER MUST PAY THE DIFFERENCE IN FEES)
Check enclosed payable to ISPE # _____________in the amount of $_______________ (MUST BE DRAWN ON A US BANK)
Bill credit card (Check type): VISA ______
MC______ AMEX______
Card number
Exp. date ___________Security Code _____________ (on back of card)
Name of cardholder ____________________________________________________ (AS IT APPEARS ON CARD)
Cardholder signature
Cancellations, Substitutions or Transfers - Cancellations must be made in writing and received by ISPE prior to the start of the
training course. If cancellations are received one month prior to the start date of the course, a full refund, minus a $100 handling fee
will be issued. After that time, no refunds will be granted. If you are unable to attend, a substitution will be accepted, though
nonmembers substituting for a member must pay the difference in fees prior to the start of the event. Please visit
http://ispe.org/2016-feb-tampa-training to view the complete registration and cancellation policies. By registering for this event, I
grant ISPE permission to record and/or copy my image and the right to use these images for ISPE promotional purposes. If not,
please inform ask@ispe.org
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