ISPE 2010 Annual Meeting Education Delegate Registration Attach Hotel Reservation Request Form and Guest and Networking Events Registration Form, and submit both to ISPE. Photocopy to register additional people. Check here if you were previously an ISPE Member. ISPE ID # _______________________________________________ ONLINE: www.ISPE.org/2010AnnualMeeting FAX: +1-813-264-2816 MAIL: ISPE, 3109 W. Dr. Martin Luther King Jr. Blvd., Suite 250, Tampa, Florida, 33607 USA Early Bird 11 October First Name _______________________________________MI___________Last Name_________________________________ Emergency Phone: Cell Phone _______________________________ or Home Phone________________________________ Informal Badge Name ______________________________Chapter/Affiliate__________________________________________ FULL EDUCATION FEES No refunds after 18 October Job Title______________________________________________ Email Address_______________________________________ Company______________________________________________ Business Address_____________________________________ State/Province________________________ Zip+4/Postcode_________________________ County_______________________ Business Tel____________________________________________ Business Fax_______________________________________ 307 - Supply Chain Game PLEASE SELECT SEMINARS OF CHOICE 308 - Real Time Project (Part 1 of 2) CPIPTM Certification Program Introduction Workshops Tues 08.30-09.30 (Complimentary) Mon 13.30-14.30 CPIPTM Certification Program How-to Workshops Tues 10.30-11.30 (Complimentary) Mon 15.00-16.00 Tues 14.00-15.00 Weds 09.00-10.00 700 - Investigational Products (Part 2 of 4) Sunday, 13.00-17.00 Tuesday, 14.15-17.15 401 - Working with Emerging Markets 402 - Disposable Technologies 403 - Advanced Aseptic Processing 101 - Global Trends R&D Facilities 404 - Facility of the Year (2) 102 - Hygienic Systems 405 - PQLI®: Product Design, Development, Realization 103 - Sustainable Facilities 406 - Advanced Process Monitoring 104 - Operational Excellence 407 - Biotech: Capacity, Single-Use, Gaskets 105 - Construction Quality 408 - Real Time Project (Part 2 of 2) 106 - Nanotechnology On/Before After 11 October 11 October (T07) GAMP (T17) Cleaning Pricing Shown as On or Before 11 October and After 11 October TOTAL US$ I wish to keep my data confidential and it is given only for use by ISPE and its local Chapters and Affiliates. I do not wish my information to be printed in the Membership Directory or on Conference Attendee Listings. Current Member $1,400 $1,700 $1,510/ $1,810 $1,410/ $1,710 $ New Member (Fee includes oneyear ISPE Membership, a $215 value) $1,615 $1,915 $1,725/ $2,025 $1,625/ $1,925 $ Nonmember $1,695 Committee $ 750 Government $ 850 $755 $755 $ Emerging Economy $ 700 $755/ $905 $705/ $855 $ Academia Member $ 700 $755/ $905 $705/ $855 $ Student Member $ 475 $755/ $905 $705/ $855 $ I’m a new ISPE Member. $2,010 $1,810/ $2,125 $1,705/ $2,020 $ $ FULL DAY EDUCATION MEAL FUNCTIONS Full delegate registration includes all events listed below, plus the Sunday Welcome Reception, continental breakfasts, and breaks. Please check functions you plan to attend so that we can arrange for sufficient meals. I will not attend any meals, receptions, or parties I will attend the New Monday Lunch Member/First-time ISPE Tuesday Membership Lunch and Awards Ceremony Annual Meeting Attendee Tuesday Party Orientation Breakfast Wednesday Lunch on Monday. Details page 25. Special Meal Requirement Kosher Vegetarian Gluten Free 700 - Investigational Products (Part 3 of 4) 107 - Pandemic Readiness Wednesday, 08.15-12.15 108 - Science of PM: Consistent Terminology Monday, 13.30-17.00 501 - Offshoring R&D Towards Asia 502 - Calibration Management Keynote Session - Mon 08.30-12.00 503 - Dedicated Facilities 201 - HVAC cGMP Trends 504 - Dosage Form Manufacturing 202 - Sterile Manufacturing Faciliites 505 - Implementation of ASTM E 2500 203 - Managing Commissioning 506 - GAMP Good Practice Guides ® 204 - Regulatory Town Hall Forum 507 - Sustainable Design Critical Utilities 205 - Water for Injection 206 - C&Q Forum: Risk-Based Approach 208 - Science of PM: PCSI 508 - Science of PM: Construction Partnering 700 - Investigational Products (Part 4 of 4) Wednesday, 12.45-15.45 700 - Investigational Products (Part 1 of 4) Tuesday, 08.15-11.30 601 - Implementation of New CMC and GMP Regulations and Guidelines in Asia Pacific Countries 301 - GAMP® Outsourcing 602 - Innovations in Anti-Counterfeit and Brand Protection Strategies 302 - Designing a cGMP Facility in China 603 - Maintaining Quality in International Contract Manufacturing 303 - Managing Cleaning Validation 605 604 - Standards Update CANCELLED 304 - Facility of the Year (1) 305 - PQLI®: Pharma Quality Systems 306 - Pharmaceuticals in the Environment CANCELLED 606 605 - 1099 Contractors – Friend or Foe Training Tuesday and Wednesday (Single day fees do not apply) Basic Principles of Computerized Systems Compliance (T07) Cleaning Validation (T17) SINGLE DAY FEES* Sun. to Weds., check days you will attend. On or Before 11 October After 11 October TOTAL US$ Half Day Sunday Member $ 255 *Nonmember $ 295 Member $ 305 *Nonmember $ 345 $ One Day Monday Tuesday Wednesday Member $ 485 *Nonmember $ 575 Member $ 585 *Nonmember $ 675 $ 1 1/2 Day Sunday/Monday Member $ 740 *Nonmember $ 870 Member $ 890 *Nonmember $1,020 $ Two Day Monday/Tuesday Tuesday/Weds Member $ 970 *Nonmember $1,150 Member $1,170 *Nonmember $1,350 $ 2 1/2 Day Sun/Mon/Tues Member $1,225 *Nonmember $1,445 Member $1,475 *Nonmember $1,695 $ PAYMENT METHOD Registrations only accepted with payment or credit card information. Please contact ISPE regarding wire transfers. Substituting for______________________________ If you are a nonmember substituting for a Member, the nonmember registration fee is required in advance. Check #____________________________________ enclosed payable to ISPE (US Dollars only, drawn on a US bank) in the amount of $ ___________ Bill My Credit Card - Circle Type: VISA MASTERCARD AMEX _____________________________________________ CArd Number _____________________________________________ Expiration Date _____________________________________________ Name of Cardholder (as it appears on card) SINGLE DAY EDUCATION MEAL FUNCTIONS Single day fees include continental breakfast, lunch, and breaks for the days registered. The Tuesday Night Party must be purchased a la carte. Please check functions you plan to attend so that we can arrange for sufficient meals. I will not attend any meals, receptions, or parties I will attend the New Monday Lunch Member/First-time ISPE Tuesday Membership Lunch and Awards Ceremony AM Attendee Orientation Wednesday Lunch Special Meal Requirement I’m a first-time ISPE Annual Meeting attendee. Kosher Vegetarian Breakfast. Details page 25. Gluten Free Tues Party $200 $ Tues Lunch/Awards (Non Delegate/Committee Member) $50 $ TOTAL US$ $ _____________________________________________ Cardholder Signature *Join ISPE now and save! Visit www.ISPE.org/Join to learn about the benefits of membership. Cancellations must be made in writing. Refunds will be given minus a 10% handling fee (maximum of $100) if received on or before 18 October. No refunds thereafter. Please send Annual Meeting registration and hotel reservation forms with payment to: ISPE Headquarters 3109 W. Dr. Martin Luther King Jr. Blvd., Suite 250 Tampa, Florida 33607, USA Tel: + 1-813-960-2105, Fax: +1-813-264-2816 www.ISPE.org - FEIN #59-2009272 1