Registration Form
for
Conference on Lyophilization - Freeze Drying - October 22 - 25, 2002
and
Pre-Conference Lyophilization Seminar and Workshops

Radisson Hotel    The seminar, workshops and conference will be held at the Radisson    SAS Hotel Amsterdam Airport. Click on the picture for more    information about the hotel and making hotel reservations.

Maximin Attendance to the Conference is 250 persons

Registration will be strictly on a first come first serve basis

   IMPORTANT - Please note that there will be two means for making payment to    the Conference, the seminar and workshops, i.e., credit card or check. Your fees ( in US Dollars) may be based on the method of payment that you select. In determining your fees please note the following notations:

     Conference = Complete admissions to all Conference sessions, trip to Edwards BOC, reception, exhibits and                              banquet at a fee of $1495.00
     Seminar = Three day Lyophilization Seminar by Dr. Thomas A. Jennings at a fee of $1995.00 (Closed)
     Seminar + Conference = $2995.00 (Closed)
     Workshop A = Lyophilizers -Commissioning and Validation ($450.00 without Conference and $400 with                               Conference.)
     Workshop B = Mimi lyophilizers reports and graphic display ($450.00 without Conference and $400 with                               Conference.) (Cancelled)
     Workshop C = Sterilization and Thermodynamic Control ($450.00 without conference and $400 with                               Conference.) (Cancelled)
     Workshop D = Maintenance of Freeze Dryers ($450.00 without Conference and $400 with Conference.)

     Important: Please note that you cannot register for the seminar and a workshop. The                         last day of the seminar falls on the same day that the workshops are given.

FIRST MEANS: Credit cards are the preferred method of payment. We are only able to process credit cards from American Express, Master Card and Visa. If you wish to make payment by credit card at a secure web site please click on Credit Card Payment.

SECOND MEANS: You may register and make payment by check payable at a United States Bank. Please note we will not accept Bank Drafts. Those persons not living in the United States and Puerto Rico will be required to add an additional $100.00 (US Dollars) to cover the bank transfer fees

Registration Form

     I.  Name and Contact Information

          Your Full Name:                      Username:  Type None for non-member

           Organization: (if applicable)

           Department:                         

           Street Address:                    

           2nd Street Address:             

           City and State:                          Zip Code:   Type Noneif not code

           Country:                                 

           Telephone Number:             

           Fax Number:                         

           E-mail Address:                   

            Yes -  I intend to take the tour of Edwards BOC facilities on October 23, 2002.
            No - I do not intend to take the tour of Edwards BOC facilities on October 23, 2002.

     II.   Payment by Check or Wire Transfer

               Please check this box if you wish to receive instructions for a wire transfer of your payment.

For Members Residing In the United States or Puerto Rico
(If you do not reside in United States or Puerto Rico please go to the next section)

           Please note that your check drawn must be drawn against a bank located in the United States. Please be            advise that we cannot accept Bank Drafts.

     Please check to indicate which of the following activities you wish to attend. Please only check one (1) box. Then scroll down and, after reading Important Registration Information, press the Submit Registration button.

Conference
             Conference only = $1495.00

Workshops
             Workshop A (only) = $450.00
             Workshop A + Conference = $1895.00
             Workshop A + Workshop D (only) = $900.00
             Workshop A + Workshop D + Conference = $2295.00
             Workshop D (only) = $450.00
             Workshop D + Conference = $1895.00

For Members Residing Outside the United States or Puerto Rico

     Please note that those members residing outside of the United States and wishing to pay by a check drawn against a bank located in the United States there will be an additional charge of $100.00 to cover bank transfer fees.     

 Please check to indicate which of the following activities you wish to attend. Please only check one (1) box. Then scroll down and, after reading Important Registration Information, press the Submit Registration button.

Conference
             Conference only + $100.00 = $1595.00

Workshops
             Workshop A (only) + $100.00 = $550.00
             Workshop A + Conference + $100.00 = $1995.00
             Workshop A + Workshop D (only) + $100.00 = $1000.00
             Workshop A + Workshop D + Conference + $100.00 = $2395.00
             Workshop D (only) + $100.00 = $550.00
             Workshop D + Conference + 100.00 = $1995.00

Important Registration Information - Please read before you register.

Please check your Registration Form. Make sure you have All completed appropriate sections. Printout a copy of the form for your records. You may make corrections by pressing the Reset button and re-enter your information. To submit your registration just click on the Submit Registration button.

                    

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