Registration Form

CHI's BioBanking

Did you receive a conference brochure? Yes No

If yes, what is the Key Code on the label?
Keycode: ex. I860F1 or F30 
Individual Site License

DVD Pricing

Transitioning a Biobanking Effort with Scientific and Fiscal Responsibility $345 $1380
Scientific & Technical Considerations for Developing & Managing Biobanking Protocols Short Course $345 $1380
Conference Presentation Highlights DVD 2009 $495 $1699
CD Pricing
2010 Conference proceedings CD $750 $1995
2009 Conference proceedings CD $750 $1995
Your Information

Mr.     Ms.     Mrs.     Dr.     Prof.

First:           Last:
Title:   Div/Dept.:  
State:   Zip/Postal Code:
Phone and fax numbers are required to process form
Telephone Fax:

Would you like to receive CHI event updates via fax?   Yes No 

How would you prefer to receive notices from CHI?

Email:Yes No

Fax: Yes No

Yes! I would like to receive a FREE subscription to:

Bio-ITWorld - a monthly magazine focused on technologies for the life sciences

eCliniqua - Innovative management in clinical trials

Bio-IT World Weekly Update - Industry news, commentary, and feature highlights from Bio-IT World

YES! I would like more information on CHIís Insight Pharma Reports Ė Expert Intelligence for Better Decisions

Credit Card information is required to process form

SSLThis order form is protected by Secure Socket Layer Technology ("SSL"). This is an advanced encryption technique that ensures secure data transfer between your browser and the secure server

Credit Card:  
Exp. Date:   /
Cardholder's Name:  
Credit Card Number:  
Additional registration details

How did you first find out about this CHI Conference?:
(check one only)

 Conference brochure Colleague  Calendar listing CHI email Print ad On another web site
Newsgroup posting Other