Registration Form

Strategic Alliance Management

Did you receive a conference brochure? Yes No

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

Short Course Pricing

One Short Course


Two Short Courses


Please select the short course(s) you would like to attend:

Monday, May 7th

Tuesday, May 8th

SC1: Managing Conflict in Alliances: Key Frameworks and Tools

SC2: The Science of Negotiations


Conference Pricing

Commercial Academic, Government,

Registration received after April 6, 2012 and on-site



Register 3 - 4th is Free!  Individuals must register for the same conference or conference combination and submit completed registration forms together for discount to apply. Please reproduce this registration form as needed.

Group Discounts are Available! Special rates are available for multiple attendees from the
same organization.
For more information on group discounts contact David Cunningham at 781-972-5472

I cannot attend but would like to purchase the Strategic Alliance Management CD for $350 (plus shipping)

Your Information

Mr.     Ms.     Mrs.     Dr.     Prof.









Zip/Postal Code:




Phone and fax numbers are required to process form



How would you prefer to receive notices from CHI?

Email:Yes No

Fax: Yes No

We may occasionally send you, via email, industry relevant product & service information on behalf of a third party.

Yes, I want to receive this information.

No, I do not want to receive this information.


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

Bio-IT World - 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 CHI’s Insight Pharma Reports – 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  Linkedin 
Newsgroup posting LinkedIn Twitter Facebook Other