2007 AAPS Annual Meeting and Exp by liwenting

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									 2007 AAPS Annual Meeting and                                                       2007 AAPS Annual Meeting and Exposition
   Exposition Registration Form                                                     November 11–15, 2007
                                                                                    San Diego Convention Center, San Diego, CA

                                                                                                                                                      APS 071 PAAG
First Name                                                        Middle Initial                                           Instructions:
                                                                                                                           ✓	 Type or print all information.
Last (Family) Name
                                                                                                                           ✓	 Payment must accompany
Nickname for Badge                                                                                                            your form for registration to be
                                                                                                                              processed.
Job Title                                                         Organization
                                                                                                                           ✓	 Keep a copy of your completed
                                                                                                                              registration form for your records.
Address                                                           City
                                                                                                                           ✓	 Group registration is
State/Province                                                    Postal Code                                                 available online only at
                                                                                                                                http://registration.expoexchange.com/
Country                                                           Phone                                                         ShowAPS071/Default.aspx

                                                                                                                           ✓	 All information must be
Fax                                                               Email
                                                                                                                              completed in full to receive
                                                                                                                              a badge.
Emergency Contact Name                                            Phone


m	 The information above has changed.                   m	 Member Renewal*                                     Primary Section
m	 I require special services in accordance with        m	 Applied or renewed separately                       (new members must select one primary section)
   the Americans with Disabilities Act.                    for AAPS Membership:
                                                                                                               m	 A APQ – Analysis and Pharmaceutical Quality
m	 New Member                                           	   Date Sent                                          m	 B BIOTEC – Biotechnology
                                                                                                               m	 C CPTR – Clinical Pharmacology and
                                                                                                                  Translational Research
                                                                                                               m	 D DDD – Drug Design and Discovery
                                                                                                               m	 E PDD – Pharmaceutics and Drug Delivery
*If you are unsure of your AAPS Membership status, contact AAPS
                                                                                                               m	 F PPDM – PK/PD and Drug Metabolism
Member Relations at membership@aaps.org or (877) 998-AAPS.                                                     m	 G PT – Pharmaceutical Technologies
                                                                                                               m	 H RS – Regulatory Sciences

Spouse/Guest Registration (Additional fee required)
Spouse/Guest Name for Badge


Business Information                     Primary Business/Industry                 Purchasing Authority                    m	   F   Drug Delivery Systems
Primary Job Function                     (Check one)                                                                       m	   G   Excipients
                                                                                   m	   A   Authorize                      m	   H   Ingredients
(Check one)                              m	   A   Academia                         m	   B   Purchase                       m	   I   Packaging
m	   A   Academic                        m	   B   Analytical Testing Lab           m	   C   Recommend                      m	   J   Pumps
m	   B   Consultant                      m	   C   Association                      m	   D   Specify                        m	   K   Raw Materials
m	   C   Corporate Management            m	   D   Biotechnology                    m	   E   No Purchasing Authority        m	   L   Software
m	   D   Engineer                        m	   E   Contract/Clinical Research                                               m	   M   Spectroscopy
m	   E   Marketing/Sales                 m	   F   Cosmetics                        Area of Interest                        m	   N   Tablet Presses
m	   F   Media                           m	   G   Foods                            (Check all that apply)                  m	   O   Test Equipment
m	   G   Production/Planning             m	   H   Government                                                               m	   P   Other
                                                                                   m	   A   Analytical Services
m	   H   Purchasing                      m	   I   Manufacturing
                                                                                   m	   B   Chemicals
m	   I   QA/QC                           m	   J   Materials Manufacturing
                                                                                   m	   C   Chromatography
m	   J   R&D                             m	   K   Medical Devices/Diagnostics
                                                                                   m	   D   Contract/Clinical Services
m	   K   Regulatory Sciences             m	   L   Publications
                                                                                   m	   E   Dissolution Test Equipment
m	   L   Other                           m	   M   Other


Combination Registration                                                           Sunday, November 11
Register for a workshop, a Short Course, and the AAPS Annual Meeting               m	 SC1 Methods for Pre-screening        m	 SC5 Challenges in Developing
and Exposition and you are eligible for a reduced registration fee. Check the         Protein Therapeutics for Potential      Biologics: Industry and
short course in which you wish to enroll and circle the appropriate fee under         Clinical Immunogenicity                 Regulatory Expectations
Combination Registration and save up to 15 percent.
                                                                                   m	 SC2 Science and Engineering          m	 SC6 Challenges and
                                                                                      Principles Applied to                   Opportunities in Developing
Short Course Registration (Additional fee required)                                   Pharmaceutical Technology               Drug Substance and Product
                                                                                      for Solid Formulations                  CMC Dossiers: CTD
If registering for a Short Course, check the course in which you wish to                                                      Submissions
                                                                                   m	 SC3 Recent Techniques
enroll and circle the appropriate fee below. Course registration is limited and       in HPLC and Related                  m	 SC7 Introduction to
accepted on a first-come, first-served basis.                                         Chromatographic Procedures              Laboratory Automation
                                                                                   m	 SC4 Monitoring Impurities in
                                                                                      Pharmaceuticals
                                                                                                                                      Program at a Glance 13
2007 AAPS Annual Meeting and                                                                  First Name

  Exposition Registration Form                                                                Last (Family) Name

AAPS Annual Meeting and Exposition Registration
Please check Registration Type and circle the dollar amount.                                                              m	 Regular Member                        $135
                                                                                                                          m	 Full-time Graduate Student/           $30
                                                                                                                             Undergraduate Student
Join AAPS Today and Save on Registration Fees!                                                                            m	 Postdoctoral Fellow                   $30
                                                                                                                          m	 Retired Member                        $50


                                                                                             Early-Bird Registration      Advanced Registration        On-Site Registration
 Registration                                                                                Received on or before        Received by                  Received
                                                                                             September 7, 2007            October 5, 2007              October 6 – on-site
 m	 AAPS Member                                                                                                  $540                         $695                        $870
 m	 Non-member                                                                                                   $845                       $1,020                       $1,150
 m	 AAPS Member, Graduate Student/Postdoctoral Fellow*
                                                                                                                 $140                         $140                        $190
    Are you a member of an AAPS Student Chapter? m Yes m No
 m	 AAPS Member, Government                                                                                      $540                         $540                        $870
 m	 Non-member, Government                                                                                       $845                         $845                       $1,150
 m	 1 Day AAPS Member (circle day(s) attending) M T W R                                                          $310                         $365                        $425
 m	 1 Day Non-member (circle day(s) attending) M T W R                                                           $515                         $640                        $670
 m	 1 Day AAPS Graduate Student/Postdoctoral Fellow*
                                                                                                                   $65                          $65                       $110
    Are you a member of an AAPS Student Chapter? m Yes m No


 Combination Registration                              Register for a Workshop, a Short Course (selection made below) and the Annual Meeting and Exposition
                                                       and receive a 15% discount on the registration package. Deadline: October 5, 2007

 1. Select one workshop
 Workshop Selection for Combo, Two-day CRS Workshop on Development                           Early-Bird Registration      Advanced Registration        On-Site Registration
                                                                                             Received on or before        Received by                  Received
 and Regulatory Challenges for Controlled Release Formulations                               September 7, 2007            October 5, 2007              October 6 – on-site
 m	 AAPS Member Combo Fee                                                                                      $1,925                       $2,060                            N/A
 m	 Non-member Combo Fee                                                                                       $2,690                       $3,020                            N/A
 m	 AAPS Member, Government Combo Fee                                                                          $1,385                       $1,385                            N/A
 m	 Non-member, Government Combo Fee                                                                           $1,890                       $1,955                            N/A
 m	 AAPS Member Academic Combo Fee                                                                             $1,540                       $1,670                            N/A
 m	 CRS Member Combo Fee                                                                                       $2,390                       $2,455                            N/A
 Workshop Selection for Combo with One-day workshop (choose one)
 m	 Stress Testing & Degradation Chemistry Workshop
 m	 Quantitative Pharmacology Workshop
 m	 Understanding Regulatory, Inductive/Inhibitory Workshop
 m	 AAPS Member Combo Fee                                                                                      $1,755                       $1,890                            N/A
 m	 Non-member Combo Fee                                                                                       $2,520                       $2,850                            N/A
 m	 AAPS Member, Government Combo Fee                                                                          $1,385                       $1,385                            N/A
 m	 Non-member, Government Combo Fee                                                                           $1,890                       $1,955                            N/A
 m	 AAPS Member Academic Combo Fee                                                                             $1,435                       $1,565                            N/A
 m	 CRS Member Combo Fee                                                                                       $2,220                       $2,285                            N/A


 2. Select one Short Course
 Short Course Selection – (required for all combination registrations)

 m	 SC1       m SC2       m SC3       m SC4        m SC5        m SC6       m SC7




        14 2007 AAPS Annual Meeting and Exposition
2007 AAPS Annual Meeting and                                                       First Name

  Exposition Registration Form                                                     Last (Family) Name

AAPS Annual Meeting and Exposition Registration

Join AAPS Today and Save on Registration Fees!
Special Events                                                                     Early-Bird Registration
                                                                                   Received on or before
                                                                                                              Advanced Registration
                                                                                                              Received by
                                                                                                                                           On-Site Registration
                                                                                                                                           Received
An additional fee is required to attend these sessions                             September 7, 2007          October 5, 2007              October 6 – on-site
m	 Short Course AAPS Member                                                                           $635                      $635                            $740
m	 Short Course Non-member                                                                            $875                      $950                            $950
m	 Open Forum (select one) RS/APQ, BIOTEC, PPDM, PT, CPTR, APQ                                          $75                      $75                            $100
m	 Open Forum PDD                                                                                     $175                      $175                            $200
m	 Development and Regulatory Challenges Workshop AAPS/CRS Member                                   $1,090                    $1,090                        $1,275
m	 Development and Regulatory Challenges Workshop Non-member                                        $1,445                    $1,445                        $1,580
m	 Development and Regulatory Challenges Workshop Government                                          $450                      $450                            $525
m	 Development and Regulatory Challenges Workshop Government, Non-member                              $500                      $500                            $575
m	 Development and Regulatory Challenges Workshop AAPS Member, Student                                  $70                      $70                              $80
m	 Development and Regulatory Challenges Workshop Academic Member                                     $635                      $635                            $745
m	 Stress Testing & Degradation Chemistry Workshop AAPS Member/CSR Member                             $890                      $890                        $1,075
m	 Stress Testing & Degradation Chemistry Workshop Non-member                                       $1,245                    $1,245                        $1,380
m	 Stress Testing & Degradation Chemistry Workshop Government                                         $450                      $450                            $525
m	 Stress Testing & Degradation Chemistry Workshop Government, Non-member                             $500                      $500                            $575
m	 Stress Testing & Degradation Chemistry Workshop AAPS Member, Student                                 $70                      $70                              $80
m	 Stress Testing & Degradation Chemistry Workshop Academic Member                                    $510                      $510                            $640
m	 Quantitative Pharmacology Workshop AAPS/CRS Member                                                 $890                      $890                        $1,075
m	 Quantitative Pharmacology Workshop Non-member                                                    $1,245                    $1,245                        $1,380
m	 Quantitative Pharmacology Workshop Government                                                      $450                      $450                            $525
m	 Quantitative Pharmacology Workshop Government, Non-member                                          $500                      $500                            $575
m	 Quantitative Pharmacology Workshop AAPS Member, Student                                              $70                      $70                              $80
m	 Quantitative Pharmacology Workshop Academic Member                                                 $510                      $510                            $640
m	 Enzyme-and Transporter-Based Drug Interaction Workshop AAPS/CRS Member                             $890                      $890                        $1,075
m	 Enzyme-and Transporter-Based Drug Interaction Workshop Non-member                                $1,245                    $1,245                        $1,380
m	 Enzyme-and Transporter-Based Drug Interaction Workshop Government                                  $450                      $450                            $525
m	 Enzyme-and Transporter-Based Drug Interaction Workshop Government, Non-member                      $500                      $500                            $575
m	 Enzyme-and Transporter-Based Drug Interaction Workshop AAPS Member, Student                          $70                      $70                              $80
m	 Enzyme-and Transporter-Based Drug Interaction Workshop Academic Member                             $510                      $510                            $640


                                                                                   Early-Bird Registration    Advanced Registration        On-Site Registration
Additional Fees                                                                    Received on or before      Received by                  Received
                                                                                   September 7, 2007          October 5, 2007              October 6 – on-site
m	 Guest/Spouse                                                                                         $35                      $35                              $35
m	 Development and Regulatory Challenges Workshop CE                                                    $30                      $30                              $30
m	 Stress Testing & Degradation Chemistry Workshop CE                                                   $30                      $30                              $30
m	 Quantitative Pharmacology Workshop CE                                                                $30                      $30                              $30
m	 Enzyme-and Transporter-Based Drug Interaction Workshop                                               $30                      $30                              $30
m	 CE Short Course                                                                                      $30                      $30                              $30
m	 CE Annual Meeting                                                                                    $30                      $30                              $30
m	 Abstract CD
                                                                                                         $5                           $5                          $5
   Abstracts Available for download at www.aapspharmaceutica.com/itinerary
                                                                                                                                       Program at a Glance 15
 2007 AAPS Annual Meeting and                                                                  First Name

   Exposition Registration Form                                                                Last (Family) Name



Total Fees                                                                     Fax all four pages of your completed
AAPS Membership                                           $                    registration form to (301) 694-5124.
AAPS Annual Meeting and Exposition                        $

Combination                                               $
                                                                               Save up to 15 percent – Register by Sept. 7, 2007
Special Events
                                                                               Payment Method
   Development & Regulatory Challenges Workshop           $
                                                                               AAPS does not accept purchase orders or government training forms.
   Stress Testing & Degradation Chemistry Workshop $                           Federal Tax ID #521444968
   Quantitative Pharmacology Workshop                     $                    m	Check #                  Payable to AAPS-AM (U.S. dollars, drawn on a U.S. bank)
   Understanding the Regulatory,
   Inductive/Inhibitory Workshop                          $                    m	Charge
                                                                                 m Visa (V) m MasterCard (M) m		American Express (A) m	Discover (D)
   Short Course                                           $
                                                                               Card Number
   Open Forum                                             $

Additional Fees                                           $                    Expiration Date

TOTAL	                                                    $   0.00             Card Holder’s Name
*The signature of your Dean or Department Chair is required
below to certify your full-time status to be eligible for this fee.            Authorized Signature

Signature                                                                      For faster service, registrations paid by credit card may be faxed to (301) 694-5124. If you
                                                                               fax your registration, please do not also mail it.
Date


Cancellation Policy                                      of original registration. Cancellation of one

2007 AAPS Annual Meeting
                                                         person from a minimum of five paid group
                                                         registrations will cancel the complimentary        � Easy Ways
                                                                                                             to Register!
                                                         rate for the seventh registrant whose
and Exposition                                           registration fees will be adjusted according
All requests for refunds must be submitted               to membership status and time of the
in writing and emailed to registration@aaps.             original registration. Groups cannot be
                                                         combined. Substitutions are allowed at
org or faxed to (703) 243-5582. Registration
                                                         any time with the registration rate to be          Secure Online Registration:
refunds will be issued for all requests
received by October 12, 2007 less an                     adjusted according to membership status
                                                         of the person who is the replacement
                                                                                                            http://registration.expoexchange.com/
administrative fee ($100 for members and
non-members/$30 for student registrants).                registrant. Previously submitted                   ShowAPS071/Default.aspx
Registrant substitutions from the same                   registrations cannot be combined in order
                                                         to meet minimum requirements. Group
company may be submitted in writing at
any time without penalty. If the membership              registration cancellations received by             Fax all four pages of this completed form with
                                                         October 12, 2007 will be issued less an
status of the substitute differs from that of
                                                         administrative fee ($100 for members and           credit card information to (301) 694-5124.
the original registrant, a refund or additional
charge may apply.                                        non-members/$30 for student registrants)
                                                         per person.
                                                                                                            Mail your registration with payment to:
Short Course
                                                         Workshops                                          2007 AAPS Annual Meeting
Short Course registration cancellations
received by October 12, 2007 will be                     All written refund requests received by            PO Box 590
                                                         October 12, 2007 will be issued minus an
issued less a $100 administrative fee. No
                                                         administrative fee ($180 for registrants/$50       Frederick, MD 21705
refunds will be issued for Short Course
registration cancellations received after                government registrants/$15 student
                                                         registrants). Refund requests received after
October 12. Registrant substitutions
                                                         this date will not be accepted. Registrant
                                                                                                            Overnight/Express Deliveries
submitted in writing are accepted at any
time without penalty. If the membership                  substitutions submitted in writing are             2007 AAPS Annual Meeting
status of the substitute differs from that               accepted at any time without penalty. If the
of the original registrant, a refund or                  membership status of the substitute differs        1888 North Market Street
                                                         from that of the original registrant, a refund
additional charge may apply.
                                                         or additional charge may apply.
                                                                                                            Frederick, MD 21701
Group Registration                                       Fax: (703) 243-5582                                Questions?
Groups of three paid registrants or five                 Email: registration@aaps.org
paid registrants must be maintained                      Deadline: October 12, 2007                         Meeting Registration – (301) 694-5243 or call toll
                                                         All refunds will be issued by December 21,
in order to qualify for the appropriate
                                                         2007.                                              free at (866) 229-2386 within the U.S. and Canada.
number of complimentary registrations.
Cancellation of one person from a group                  Until you receive a confirmation letter, your
                                                         registration is not complete. You should
of three paid registrants will cancel the
                                                         receive a confirmation letter by fax or email      General Meeting – (703) 243-2800, or call toll free
complimentary rate for the fourth registrant
whose registration fee will be adjusted                  5 to 10 business days after payment is             at (877) 998-AAPS
according to membership status and time                  received. If not, call (301) 694-5243.
         16 2007 AAPS Annual Meeting and Exposition

								
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