BioPharm International Free Subscription

	*BioPharm International* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *BioPharm International*, please answer ALL of the questions on the form below.
	The publisher determines qualification and reserves the right to limit the number of free subscriptions.
	Geographic Eligibility: USA & Europe

1.	*Do you wish to receive a FREE subscription to BioPharm International?*

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2.	*Would you also like to receive the digital edition of BioPharm International?*

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By providing your email address you consent to Advanstar Communications contacting you with relevant updates about products and services by email. Your email will not be passed to third parties. Information you supply to Advanstar Communications may be used for publication (where you provide details for inclusion in our directories or catalogues and on our website) and also to provide you with information about our products or services in the form of direct marketing activity by phone, fax or post. Information may also be made available to third parties on a list lease or list rental basis for the purpose of direct marketing. If at any time you no longer wish to a) receive anything from BioPharm International or b) have your information made available to third parties, please write to: Kris Baxter, Data Protection, Advanstar Communications, 131 West First Street, Duluth, MN 55802 or email fulfill@superfill.com and provide your complete name and delivery address.

What is the approximate number of employees in your company? (select only one)

Yes, please auto-fill my contact information for other publication qualification forms.

3.	What is your organization's primary business? (select only one)

Biopharmaceutical/Biologics Manufacturing (including peptides and oligos) Architecture/Engineering/Construction

Biopharmaceutical/Biologics Process Development Contract Research/Analytical Services

Classical Pharmaceutical Manufacturing Biotechnology/Biopharmaceutical Research

Biodiagnostic Manufacturing (including biodiagnostic devices) Government

Biodiagnostic Process Development Research Institutes/Universities/Colleges

Biotherapeutic Discovery/Development Business/Investment/Legal Service

Biopharmaceutical Formulation/Delivery Other (please specify)

Transgenic Therapeutic Productions

Specialty Bulk/Chemicals Manufacturing, Bulk Products and Raw Materials Producers

4.	What is your specific function? (select only one)

Production/Manufacturing Project/Facility Engineering

Process Development (includes fermentation/cell culture, protein purification, process biochemistry, etc.) Materials Management/Purchasing

Lab Management Regulatory Affairs/Clinical Affairs

Research (includes preclinical and clinical research, drug discovery, product research) Corporate Management

Project Management Business Advisor

Technical Services/Analytical Development/Support Technology Transfer

Quality Assurance/Control, Validation Other (please specify)

Plant Engineering/Design

5.	What is your job title? (select only one)

Supervisor/Director Group Leader

Manager Staff Scientist

Research Scientist Chemist

CEO/CFO/COO Laboratory Manager

Executive VP/VP Section Manager

Engineer Senior Analyst

Senior Scientist Other (please specify)

Research Associate

6.	What special issues would you be interested in reading about in the future? (select all that apply)

Disposables Chromatography

Outsourcing Services Filtration/Purification

Protein Expression, Fermentation and Cell Culture Analytical Equipment and Instrumentation

Compliance/Validation Other (please specify)

Biogenerics

7.	Would you like to receive our monthly electronic newsletter, The BioPharm Bulletin? (your email address is required above)

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8.	To permit future verification of your request, please answer the following question.

What is your middle name? or
How many sisters do you have?

9.	*Tell us what you really think. Join our BioPharm International* Research Panel today!**

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