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PAT & QbD brochure (PDF) - JMP

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7th Annual <strong>PAT</strong> and Quality by Design<br />

Two-Day Conference: 19th-20th January 2010 Pre-Conference Workshops: 18th January 2010 Venue: Grand Connaught Rooms, London<br />

REGISTRATION FORM<br />

To speed registration, please provide the priority code located on the mailing label or in the box below.<br />

My registration code is <strong>PDF</strong>W<br />

B<br />

Please contact our database manager on +44(0) 207 368 9300 or at database@iqpc.co.uk quoting the registration code above to inform<br />

us of any changes or to remove your details.<br />

5 WAYS TO REGISTER<br />

Freephone: 0800 652 2363 or +44 (0)20 7368 9300<br />

Fax: +44 (0)20 7368 9301<br />

Post:<br />

your booking form to<br />

IQPC Ltd. Anchor House, 15-19 Britten<br />

Street,London SW3 3QL<br />

Online:<br />

www.patandqbd.com<br />

Package<br />

Silver Package<br />

Two-Day Conference<br />

+ 2 Workshops<br />

Book and pay before<br />

30 October 2009*<br />

Save £300<br />

£2197 + VAT<br />

Book and pay before<br />

4 December 2009*<br />

Save £200<br />

£2297 + VAT<br />

Standard Price<br />

£2497 + VAT<br />

Email:<br />

TEAM DISCOUNTS<br />

enquire@iqpc.co.uk<br />

IQPC recognises the value of learning in teams. Groups of 3 or more booking at the<br />

same time from the same company receive a 10% discount. 5 or more receive a<br />

15% discount. 7 receive a 20% discount. Only one discount available per person.<br />

Conference No: 11287.004<br />

Bronze Package<br />

Two-Day Conference<br />

+ 1 Workshop**<br />

Conference Only<br />

Two-Day Conference<br />

*Only one discount is applicable per person. In order to qualify for the discounts, payment must be received by the booking<br />

deadlines. Team discounts are applicable to standard prices.<br />

**Please tick. I would like to register for workshop(s):<br />

A Application of <strong>PAT</strong> and <strong>QbD</strong> for Biopharmaceuticals<br />

B De-mystifying Regulatory Submission for <strong>PAT</strong> and <strong>QbD</strong><br />

DELEGATE DETAILS<br />

Please photocopy for each additional delegate<br />

DELEGATE 1<br />

Mr Mrs Miss Ms Dr Other<br />

First Name<br />

Family Name<br />

Department<br />

Position<br />

Tel No.<br />

Email<br />

Yes I would like to receive information about products and services via email<br />

Organisation<br />

Nature of business<br />

Address<br />

Postcode Country<br />

Telephone<br />

Fax<br />

Dept. Head Title<br />

Name of person completing form if different from delegate:<br />

Signature<br />

I agree to IQPC’s cancellation, substitution and payment terms<br />

Special dietary requirements: Vegetarian Non-dairy Other (please specify)<br />

Please indicate if you have already registered by Phone Fax Email Web <br />

Please note: if you have not received an acknowledgement before the conference, please call us to confirm your booking.<br />

PAYMENT METHODS<br />

Total price for your Organisation: (Add total of all individuals attending):<br />

Card Number:<br />

VISA MASTERCARD AMEX <br />

<br />

Exp. Date: Sec: <br />

Name On Card:<br />

Billing Address (if different from above):<br />

Save £200<br />

£1798 + VAT<br />

Save £100<br />

£1399 + VAT<br />

Save £100<br />

£1898 + VAT<br />

Signature:<br />

£1998 + VAT<br />

£ 1499 + VAT £ 1499 + VAT<br />

City/County/Postcode: Cheque enclosed for: £ (Made payable to IQPC Ltd.)<br />

(Please quote 11287.004 with remittance advice)<br />

IQPC Bank details: HSBC Bank, 67 George Street, Richmond, Surrey, TW9 1HG. United Kingdom.<br />

Sort Code: 40 38 18, Account No: 51304143, IBAN Code: GB59 MIDL 4038 1851 3041 43 Swift Code: MIDLGB2112V<br />

Account name: International Quality & Productivity Centre Ltd.<br />

PAYMENT MUST BE RECEIVED PRIOR TO THE CONFERENCE<br />

VENUE & ACCOMMODATION<br />

VENUE:<br />

Grand Connaught Rooms, 61 - 65 Great Queen Street, Covent Garden, London WC2B<br />

5DA.Tel: +44 (0)20 7405 7811<br />

ACCOMMODATION:<br />

Accommodation is not included in the registration fee. To book nearby<br />

accommodation, for Strand Palace Hotel, 372 The Strand, London, WC2R 0JJ,<br />

please click on to www: https://secure.strandpalacehotel.co.uk/v1web/ When<br />

making online bookings please use Corporate ID GA1. Or call 0207 379 4737,<br />

Always quote booking reference IQPC. Rates start from £95.00 inc vat & Breakfast.<br />

For further nearby accommodation search: www.4cityhotels.com<br />

FREE ONLINE RESOURCES<br />

Our website has changed! You will now find a variety of resources such as articles,<br />

news, podcasts and presentations available online. Many of these features are exclusive<br />

to IQPC so visit www.patandqbd.com today and learn something new for free.<br />

DIGITAL CONFERENCE ON CD ROM<br />

A digital version of the conference proceedings, including all the presentations in<br />

audio format "An excellent service, an invaluable reference tool, easy to access<br />

and easy to store - all in all a top product"<br />

Recent digital conferences available - £599 plus VAT each<br />

Polymorphism and Crystallisation, March 2009<br />

Operational Excellence in Pharmaceutical, Biotech and Medical Devices,<br />

December 2009<br />

Pharmaceutical Amorphous Materials, September 2009<br />

Pharmaceutical Co-Crystals, September 2009<br />

Please send me conference materials indicated above.<br />

I have filled out credit card details below<br />

For further information<br />

Please call: 0207 368 9300 or email: knowledgebank@iqpc.co.uk.<br />

To search IQPC’s archived conference documentation<br />

visit: www.iqpcknowledgebank.com<br />

TERMS & CONDITIONS<br />

PAYMENT TERMS Payment is due in full upon completion and return of the registration form.<br />

Due to limited conference space we advise early registration and payment by credit card to avoid<br />

disappointment. Your registration will not be confirmed until payment is received. Admission to<br />

the conference will be refused if payment has not been received. Payment of invoices by means<br />

other than credit card, or purchase order (UK Plc and Government bodies only) will be subject to a<br />

£49 (plus VAT) processing fee.<br />

CANCELLATION AND SUBSTITUTION POLICY Provided the fee has been paid in full,<br />

substitutions at no extra charge can be made up to 7 business days before the start of the<br />

conference. Cancellations must be received in writing or by fax to +44 (0)20 7368 9301, more<br />

than 7 days before the conference is to be held in order to obtain a full credit for any future<br />

conference. Cancellations received 7 days or less (including the seventh day) prior to the<br />

conference will not be credited. In the event that IQPC cancels an event payments received at<br />

the cancellation date will be credited towards attendance at a future conference, or in the event<br />

of postponement by IQPC, a rescheduled date. Credit notes remain valid for twelve months.<br />

IQPC reserves the right to postpone or cancel an event, to change the location of an event or to<br />

alter the advertised speakers for an event. IQPC is not responsible for any loss or damage as a<br />

result of substitution, alteration, postponement, or cancellation of an event due to causes<br />

beyond its control including without limitation, acts of God, natural disasters, sabotage,<br />

accident, trade or industrial disputes, terrorism, or hostilities. SPEAKER CHANGES<br />

Occasionally it is necessary for reasons beyond our control to alter the content and timing of the<br />

programme or the identity of the speakers<br />

DATA PROTECTION Personal data is gathered in accordance with the Data Protection Act 1998.<br />

Your details may be passed to other companies who wish to communicate with you offers<br />

related to your business activities. If you do not wish to receive these offers, please tick the box<br />

below.<br />

Please do not pass my information to any third party<br />

© IQPC Ltd. 2009 UK VAT is charged at 15% (UK VAT No. GB799225967).

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