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* I would like to receive BioProcess International. 

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    * First Name

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    * What is your organization's primary business? (Please check one)? 

    • Biological/Biopharmaceutical Mfg
    • Pharmaceutical Co (w/biotech focus)
    • Pharmaceutical Company
    • Biological/Biopharm Proc Development
    • Biodiagnostics/Delivery/Other Device
    • Biodiagnostic Process Development
    • Peptide Therapeutics/Oligos/Other
    • Biological Vaccines
    • Transgenic
    • Clinical Research Organization
    • Contract Research/Services
    • Contract Manufacturing/Services
    • Industrial/Specialty Chemicals
    • Government/Regulatory
    • Biotech/Biopharm Research
    • Business/Investment/Legal Services
    • Engineering
    • Cell/Gene Therapy
    • Consulting
    • Other

    * What is your primary job function? (Please check one) 

    • Research/Development
    • Laboratory Management
    • Technical/Analytical Services
    • Production/Manufacturing
    • Process Development
    • Project Management
    • Quality Assurance/Control/Validation
    • Regulatory Affairs/Clinical Affairs
    • Technology Transfer or IP/Legal
    • Business Development
    • Materials Mgmt/Purchasing/Logistics
    • Corporate Management
    • Business Advisor
    • Information Mgmt/Technology
    • Engineering
    • Other

    * What is your job title? (Please check one) 

    • Chemist
    • CEO/CFO/COO
    • Exec VP/VP
    • Laboratory Mgr
    • Research Associate
    • Research Scientist
    • Section Manager
    • Supervisor/Director
    • Engineer
    • Group Leader
    • Manager
    • Senior Analyst
    • Staff Scientist
    • Senior Scientist
    • PhD
    • Other

    Which of the following product/services do you recommend/approve or influence the purchase of? (Please check all that apply) 

    • Laboratory Products & Equipment
    • Biochemicals/Chemicals/Raw Materials
    • Computer Systems & Software
    • Contract Consulting and Services
    • Separation/Purification Equipment
    • Manufacturing Systems
    • Controlled Environments
    • Fermentation & Cell Culture Equipment
    • Engineering & Facility Design Svcs
    • Analytical Instrumentation/Reagents
    • Transgenic Production Systems & Svcs
    • Other

    Which of the following process phase(s) does your current job responsibilities impact/influence? 

    • Upstream Processing
    • Downstream Processing
    • Manufacturing
    • Analytical
    • Other

    What role do you play in the acquisition of products/equipment and services? 

    • I am the buyer
    • I am the approver
    • I am the recommender
    • None

    May we contact you via e-mail regarding BioProcess products and services? 

    • Yes
    • No

    May we contact you via e-mail regarding products and services from outside parties? 

    • Yes
    • No