Applying Solutions to Emerging Industry Challenges
ISPE 2011 Tampa Conference
21-24 February 2011, Grand Hyatt Tampa Bay, Tampa, Florida USA
Exhibits: 21-23 February 2011
Exhibitor Floor Plan
Your Company Name Contact Name Phone Number List any competitors (by company name) that
you do not want to be located near:
1. 2. Tech-Knowledgy
3. 4. *
*
*
*
*
*
5. Indicate your top five choices for
table location:
*
1. 2. Cyber Cafe’
*
*
*
*
Cyber Cafe’
*
*
*
*
3. 4. 5. List any special requests for table
location:
Tables marked with “*” are reserved for Premium and
Sponsorship exhibitors.
Return no later than 17 January to: Daniel Murphy, ISPE 3109 W. Dr. Martin Luther King Jr. Blvd., Suite 250, Tampa, Florida 33607 USA
Tel: 1-813-739-2274, Email: dmurphy@ISPE.org • Fax: +1-813-739-2288 • www.ISPE.org/2011TampaConference
Applying Solutions to Emerging Industry Challenges
ISPE 2011 Tampa Conference
21-24 February 2011, Grand Hyatt Tampa Bay, Tampa, Florida USA
Exhibits: 21-23 February 2011
Exhibitor Registration Badge Form
Please type or print clearly.
ISPE ID # ____________________________________________________
Informal Name for Badge _________________________________________________________________________________________________
First Name _____________________________________MI ______ Last Name_____________________________________________________
Job Title _________________________________________Company____________________________________________________________
Business Address ______________________________________________________________________________________________________
City ________________________________________________ State/Province_____________________________________________________
Zip+4/Postcode _____________________________Country _____________________________________________________________________
Business Tel ___________________________________ Business Fax_____________________________________________________________
Emergency Contact #_____________________________ Email Address___________________________________________________________
Substituting For: (Name of Exhibitor)
____________________________________________
□ Exhibitor Badge (limit 2 per table top)
N/C
Exhibitor Badge Includes
□ Exhibitor Badge Change Fee
$25
Monday, 21 February
• Access to Exhibit Hall
• Entrance to Welcome Reception
□ Additional Exhibitor Badge
Tuesday, 22 February • Access to Exhibit Hall
• Continental Breakfast
• Two Networking Refreshment Breaks
• Lunch
□ Monday Lunch
$50
□ Tuesday Lunch
N/C
□ Wednesday Lunch
□ Thursday Lunch
N/C
$50
Wednesday, 23 February
• Access to Exhibit Hall
• Continental Breakfast
• Two Networking Refreshment Breaks
• Lunch
□ ISPE Member
$200
□ Nonmember
$250
Payment Method
Total: _____
Registrations will not be accepted without payment information.
Special Meal Requirements:
□ Check # _________ enclosed payable to ISPE (must be in US Dollars,
drawn on a US bank) in the amount of $ _________
□ Vegetarian
Bill my credit card - check type: □ VISA
□ Kosher
□ Gluten-Free
Hotel Information:
□ YES, I will be staying at the Grand Hyatt Tampa Bay
(Hotel Information Attached)
□ NO, I will not be staying at the Grand Hyatt Tampa Bay
□ MASTERCARD
□AMEX
___________________________________________________________
Card Number
___________________________________________________________
Expiration Date
_____________________________________________________________
Cardholders Name (as it appears on card)
_____________________________________________________________
Cardholders Signature
FEIN #59-2009272
Return no later than 17 January to: Member Services, ISPE 3109 W. Dr. Martin Luther King Jr. Blvd., Suite 250, Tampa, Florida 33607 USA
Tel: 1-813-960-2105, Email: Ask@ISPE.org • Fax: +1-813-264-2816 • www.ISPE.org/2011TampaConference
Cancellations will result in a $100 cancellation fee. Changes made less than 10 weeks prior to event date will result in a $25.00 per person change fee.
Payment for the change fee is due at the time the change is requested and is non-refundable.
Applying Solutions to Emerging Industry Challenges
ISPE 2011 Tampa Conference
21-24 February 2011, Grand Hyatt Tampa Bay, Tampa, Florida USA
Exhibits: 21-23 February 2011
Exhibitor Directory Listing Form
Please type or print clearly the following information as you want it to appear in the Exhibitor Directory.
You can also register online at www.IPSE.org/2011TampaConferenceExhbitors
Exhibitor Information
Company Name Letter under which your company name should be alphabetized Contact Name (printed in Exhibitor Directory) Business Address City ___________________________________ State/Province _________________ Zip+4 / Postcode ________________________
Country _____________________________________ Web Address ________________________________________________
Business Tel _________________________________________Business Fax ____________________________________________
Email _____________________________________________________________________________________________________
In 15 words or less describe the product(s) produced or service(s) supplied by your company(30 words for Enhanced Listings):
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
List up to five keywords of your products and services:
_____________________, ____________________, _____________________, _____________________, ____________________
Please choose up to five categories in which you would like to be referenced.
Analytical Equipment and
Services
Contract Services
Manufacturing Software
Processing Machinery and
Equipment
Architecture/Engineering/
Construction
Facility Engineering and
Maintenance
Medical Device and Design
Equipment
Quality Control, Quality
Assurance (QA/QC)
Cleanroom Equipment and
Supplies
Information Technology
Packaging Machinery
RFID
Consulting Services
Instruments and Controls
Packaging Materials and
Components
Validation Support
Contract Manufacturing
Investigational Products
Pharmaceutical Related
Software
Warehousing, Distribution,
Logistics
Contract Packaging
Labeling, Coding and
Marking
Process Systems, Controls and
Automation
Other ___________
Contract Research
Laboratory Instrumentation,
Supplies
Processing and Manufacturing
Exhibit Fees
Enhanced Directory Listing includes 1 color logo printed in Exhibitor Directory and 30 word and company description and
link in online edition
Payment Method: Enhanced Listing $300
Check enclosed payable to ISPE # ______________ in the amount of $ _____________
 Bill my credit card
VISA MC
AMEX
CARD NUMBER _________________________________________________ EXPIRATION DATE ________________
NAME OF CARDHOLDER _________________________________________________________________________
CARDHOLDER SIGNATURE _______________________________________________________________________
The two complimentary exhibitor company personnel who are planning to participate in this event MUST complete an Exhibitor Badge Order Form. Any additional company personnel
wishing to attend must be registered as an additional exhibitor, committee member, speaker, or conference delegate.
Return no later than 17 January to: Daniel Murphy, ISPE 3109 W. Dr. Martin Luther King Jr. Blvd., Suite 250, Tampa, Florida 33607 USA
Tel: 1-813-739-2274, Email: dmurphy@ISPE.org • Fax: +1-813-739-2288 • www.ISPE.org/2011TampaConference