August 2

Wednesday, March 24, 2010

"Process and Building Automation in GMP/GLP Environments"

REGISTRATION FORM

Now that you have completed payment, please complete the registration form below to get credit for your payment and meeting attendance.

IMPORTANT: Please don't forget to enter the Transaction ID # from your payment receipt.

Attendee Information:

$225   ISPE Members
$315   Non-members
FREE for Biogen Idec Employees
$100   ISPE Student Member
$500   Meeting Sponsor
(Sponsors receive a 6’ display table, recognition at the event and one admission to the meeting.)

Sponsors provide name of comp below:
.

ISPE Member #
ISPE Chapter

Your Contact Information for Name Badge and Mailing List:

First Name:
Last Name:
Title:
Email:
Company:
Address:
City:
State:
Zip:
Phone:
Fax:

Payment type:

   On-Line Payment
Date Paid:
Amt. Paid:
Transaction ID# :

   Faxed registration form with credit card information.
         Date faxed:

Company or personal check: If paying by check, first fax your registration form to secure your spot, then mail your check (at least one week prior) made payable to: ISPE SAN DIEGO CHAPTER, 5319 University Dr., Suite 641, Irvine, CA 92612. Tax ID #33-0551783. Chapter Hotline 800-869-9621 or 949-387-9046.

Cancellations must be received in writing by March 17, 2010 for refund. After the cancellation date if you have reserved a space but do not attend, your payment MUST be remitted, however, an alternate person may attend in your place. If the alternate is not a member the difference in registration fees will be charged.

For an immediate receipt, please register on-line. Otherwise, receipts for payment and. Name Badges will be given at the event.