Registration Form
9th Annual Nassau Inn Meeting Program
Formulation & Process Development for Oral  Dosage Form
     August 25 - 29, 2014 -  Nassau Inn, Princeton, New Jersey, USA

PTI-2014-01

 

Personal Information

 

Mr.   Ms   Mrs.   Dr.   Prof.

Full Name

Job Title

Organization

Department

Address

Street-1  
Street-2  

City         
   State
Zip Code
Country

E-Mail

  Phone

      Fax

How did you
hear about the program?

Mail       Email       AAPS Meeting
Colleagues (Name) 
Other


Please Select/Calculate the registration fee as it applies to you
!

 

 

  REGISTRATION FEE & HANDOUT OPTIONS
FEE On/Before
June 15, 2014

After
June 15
, 2013
and On/Before
July 15, 2014
 
After July 15, 2014
    FREE ELECTRONIC HANDOUT OPTIONS
Per Person  $ 3,250.00 ULTRA-BOOK
or
IPAD
IPAD
or
GALAXY
(ANY) TABLET

Per person
(If 3 or more register per company
 at the same time)
 
$ 2,925.00 IPAD GALAXY (ANY) TABLET

 

Registration Fee includes the course materials as well as Sunday Reception (if it is held), A Night-Out-Dinner, and  continental breakfast, morning refreshment breaks, lunches and afternoon refreshment breaks throughout the program. Attendees who register before June 15, 2014 will also receive the book on Pharmaceutical Powder Compaction Technology, edited by Dr. Metin Çelik

Cancellation Policy:  The amount of registration fee that will be withheld upon cancellation will be as follows: 10% on/before June 1, 2014, 25% after June 1, 2014 and on/before July 1, 2014. There will be no refund after July 1, 2014. Substitution of individual participants will be permitted at any time.


Please Select The Payment Method
 

PAYMENT METHODS:

 Registration Fee:    Promotion Code (Full Registration Only):

Check
Money Order (USA only)
International Money Order (Worldwide)
Purchase Order  (USA Only) .
Electronic Funds Transfer
Credit Card

If Credit Card Payment Method is selected:
Card Type: 
Name (as appeared) on card:
Card Number:   
Please enter your credit card # without spaces or dashes (i.e. 00000000000)
Card ID: Where is my Card ID?
Expiration Date (MM-YY): /
Credit Card Billing Address  

Address should match that of the credit card

Street-1:  
Street-2:  
City:  
State:   Zip Code:
Country:

There will be three or more people attending this program from my company.

   I have dietary restrictions :

  

 

  • Checks, Money Orders, and International Money Orders should be made payable to PTI, Inc.

  • In case of Electronic Fund Transfer, the confirmation of the details of the transaction must be sent to PTI Inc. by e-mail. The details of the bank account information for Electronic Fund Transfer will be provided after receiving the registration form. 

  • On site registration will be allowed only if there is any available space.

IMPORTANT NOTE

  • Please DO NOT forget to review the completed registration form carefully BEFORE you click on the SUBMIT button.

  • Please PRINTOUT the completed form using your browser's file/print option for your records before clicking on the SUBMIT button.

  • You will be receiving either an instant auto response from PTI or an e-mail response from one of the course directors within 48 hours to confirm that your registration form has been received.  If you do not receive this response within 48 hours, please contact PTI Inc. (training@pt-int.com) as soon as possible or send a copy of the scanned printout of the form via email.

Thank you in advance for your interest in our training program.
PTI Inc.


 

For Further Information,
 Please
 CONTACT US