(If registration is not submitted, information recorded for your participation will be incomplete, inaccurate, or both.)
First Process Your Payment. Then return to and complete the
on-line registration form. When your registration form has been completed
click on the "Submit" button. Your confirmation will show up on the screen, it also will be automatically emailed to ISPE LA so
we know that your registration has been processed.
"Tour
of PolyPeptide Laboratories
and Seminar
Peptide Therapeutics: Opportunities and Manufacturing Challenges"
REGISTRATION FORM
$500 -
Event sponsor (Sponsors receive a 6’ display table,
recognition in all Email announcements of the Event and in the
Chapter Newsletter after the Event, plus two complimentary
admissions.)
Complimentary attendees*
:
*Sponsors, please
supply names of your attendees.
$50 -
ISPE Member (Tour & Seminar)
$25 -
ISPE Member (Seminar Only)
ISPE Member #:
Chapter Affiliation:
$65 - Non-Member
(Tour & Seminar)
$35 -
ISPE Non-member (Seminar Only)
Name badges will be given at the event.
First Name:
Last Name:
Title:
Company:
Address:
Mail Code:
City:
State:
Zip:
Phone:
Fax:
Email:
Payment type:
On-Line
Payment
Date Paid:
Amt. Paid:
Transaction ID# :
Faxed
registration form with credit card information.
Date faxed:
Company or
personal check: First fax your
registration form to (949) 266-8461 or (949) 387-9047. Mail your check one week prior to
the meeting to ensure it is received in time.
Make checks payable to: ISPE GREATER LOS ANGELES CHAPTER, 5319
University Dr., Suite 641, Irvine, CA 92612
Cancellations must be received in writing via fax or email to:
ksyre@cox.net by August 3 for refund. After the cancellation date
if you have reserved a space but do not attend, your payment MUST be
remitted.
For questions, email:
ksyre@cox.net
Tel: (949) 387-9046
