Registration Form


Leaders in BioBanking Congress

Did you receive a conference brochure? Yes No

If yes, what is the Key Code on the label?
Keycode: ex. I860F1 or F30 
Commercial Academic, Government,
Hospital-Affiliated

Short Course Pricing (September 30th)

Collaboration and Biospecimen Sharing between Multiple Biorepositories $495 $220
Onsite Tour of LabCorpís Center for Molecular Biology & Pathology
(included in main conference pricing)
Ė Yes, I will attend the Onsite Tour
(by September 5th)

 

Conference Pricing (October 1st Ė 2nd)

Registration after August 31 and on-site $1945 $945

 

Barnett Live Seminar (October 3rd):
Informed Consent Content & Process Requirements for Biobanking Studies

Registration Discount until September 7 $800 $700
Registration after September 7 and on-site $1000 $800

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

 

Poster abstracts for this conference are no longer being accepted on this site.

If you wish to present a poster at this conference, please email Jamie Ring at jring@healthtech.com for details.

I cannot attend but would like to purchase BioBanking CD for $350 (plus shipping). Massachusetts delivery will include 6.25% sales tax. 

I would like to receive a copy of this conference brochure by mail.

All attendees of CHIís events will receive a complimentary subscription of CHIís Molecular Med Monthly e-newsletter. If you do not wish to receive a subscription, please check this box.

 
Your Information

Mr.     Ms.     Mrs.     Dr.     Prof.

First:           Last:
Title:   Div/Dept.:  
Company:  
Address:  
City:  
State:   Zip/Postal Code:
Country:  
Email:  
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 LinkedIn Twitter Facebook Other