際際滷

際際滷Share a Scribd company logo
The PDA Southern California Chapter is Proud to Present:
Q3 2013 Educational Program Event
Presented by: Neil Wilkinson
Managing Partner, NSF-DBA, part of NSF Health Sciences Division
On the Subject of
Implementing ICH Q10:
Improving Business Performance 
How to make it happen
September 26th
, 2013 (Thursday Afternoon)
Registration/Networking: 3:00-4:00PM
Presentation/Q&A: 4:00-5:30 PM
Networking Resumes: 5:30PM
Dinner: 6:00PM
(Food & Beverages Provided at All Venues)
Three locations to choose from:
Amgen
Conference Center
(Thousand Oaks)
DPR
Facility
(Orange County)
Genentech/Roche
Facility
(Oceanside)
Information on Topic & Speaker: Implementing
ICH Q10: Improving Business Performance  How
to make it happen!
Presentation Overview:
Bio:
Neil Wilkinson
Managing Partner
NSF-DBA
ICH Q10 Pharmaceutical Quality System was finalized in 2008 and has become a regulatory
expectation in the countries and regions that adopt ICH guidelines, including the US, EU,
Japan and others. Implementation across the Pharma/Biotech sector remains patchy, both
within individual firms, and across the sector overall. This presentation will discuss the
current regulatory agency views on Q10, some of the challenges firms face in
implementation, share some novel approaches taken to break down functional silos, and
how to provide the business case to executive management. Neil Wilkinson of NSF-DBA
was a member of the ICH Q10 Expert Work Group who wrote the guideline and has seen a
range of approaches to implementation.
Neil Wilkinson has over 25 years experience within the
Pharmaceutical Industry gained via a range of Quality, Compliance,
Manufacturing, New Products and Supply Chain related roles. His
experience includes senior roles within both Site and Corporate
organizations and wide experiences of working in different
countries, such as EU, USA, Japan, China, India and others. He
acted as an EU Qualified Person (QP) for many years. Mr.
Wilkinson has represented the Pharmaceutical Industry via the
major trade associations in the EU (Efpia) and the USA (PhRMA) as
well as within the ICH process, where he was an industry topic
lead for the ICH Q10 (Pharmaceutical Quality System) Expert Work
Group. Mr. Wilkinson is a Chemist, holding a post-graduate
qualification in Pharmaceutical Quality. He remains eligible to act
as an EU Qualified Person. His most recent industry role was as
Senior Director of Global Quality in AstraZeneca. He has wide
experience of educating, auditing and consultancy in
Pharmaceutical Quality, Development and Manufacture/Supply.
All those who wish to attend must register.
ATTENDEES - REGISTER ONLINE OR USING THE REGISTRATION FORM:
http://www.pda.org/GlobalEventCalendarandRegistration/Chapters/Southern-California/PDA-
Southern-California-Chapter-Educationl-Event-Implementing-ICH-Q10.aspx
Or visit PDA website: www.pda.org/southerncalifornia and click Upcoming
Events
EXHIBITORS  FOR EXHIBIT REGISTRATION SEE LAST PAGE
For more information - contact Bill Nichols at (760) 639-1741 OR John
Holmgren at (714) 246-5562.
Early Registration Fee submitted on or before September 24th
*:
$ 40 Member (food & beverages provided)
$ 65 NonMember (food & beverages provided)
$ 30 Government employee
$ 15 Full-time Student
No Charge for Genentech Employees (Oceanside only)
No Charge for DPR Employees (Newport Beach only)
No Charge for Amgen Employee (Thousand Oaks only)
All Amgen, DPR and Genentech/Roche employees must register.
*Late registration is available for an additional $10 fee. Complete the
form and Mail (if paying by check) or Go to PDA online (link above if
paying by credit card). For all check payments, please mail to the address
listed below made payable to the Southern California Chapter of the
PDA. For all credit card payments, fax it to PDA Treasurer, Bill Nichols at
(760) 509-4910.
PDA Members: in order to register as a PDA member, you will need to set
up a PDA member login with username and password (unless youve
already done it).
If you are not able to register online, you can register using the attendee
registration form on the next page. Please fax your registration with credit
card payment to: Bill Nichols at (760) 509-4910. If paying by check, submit
the check with the completed registration form to the address below.
Mail Check Payments Payable to:
Southern California Chapter of the PDA
ATTN: Bill Nichols
2110 Camino Cantera
Vista, CA 92084
Cancellations: Money is nonrefundable if cancellations are made after
Friday September 20th, 2013
EXHIBITOR OPPORTUNITY FEES ARE NOTED ON LAST PAGE. Note, one
attendee is included with Exhibitor Fees; additional exhibitor attendees
must register using regular registration form on next page.
ATTENDEE REGISTRATION FORM  CHECK OR CREDIT CARD
Attendee Name: __________________________________________________
Title: ____________________________________________________
Company: ____________________________________________________
Business Address: _______________________________________________
City/Zip: __________________________________________
Business Phone: (____) _______________Fax Number (____) ______________
E-mail Address: __________________________________________________
Event Location: ___ Amgen Facility, Thousand Oaks
___ Genentech / Roche Facility, Oceanside
___ DPR, Newport Beach
Attendee Early
Registration Fee: ___$ 40 Member (ID #___________________)
Submitted on or ___$ 65 Non-Member
before Sept 24th ___$ 30 Government employee
___$ 15 Student
___ Free (Amgen T.O., DPR Newport or Genentech/Roche Oceanside)
Attendee Late
Registration or ___$ 50 Member (ID #___________________)
Walk-In Fee: ___$ 75 Non-Member
Submitted on ___$ 40 Government employee
Sept. 25th
or ___$ 25 Student
day of event ___ Free (Amgen T.O., DPR Newport or Genentech/Roche Oceanside)
For Visa, MC, or American Express Payments, fax COMPLETED registration form to PDA, Bill Nichols at
(760) 509-4910. Incomplete forms will not be processed. [PLEASE PRINT CLEARLY]
__________________________________ Total to be charged $______.____
Name as it appears on card
___________________________________________________________
Credit Card Billing address, City, State, Zip Code
________________________________________________________________
Card number Expiration Date
________________________________________________________________
Signature Date
Event Locations & Directions
September 26th
2013 (Afternoon)
Genentech/Roche Oceanside Facility
1 Antibody Way
Oceanside, CA 92056
(760) 231-2440
Directions to Genentech/Roche
Traveling Southbound on 5 Freeway Traveling Northbound on 5 Freeway
Exit for Oceanside Blvd (exit 52)
Turn Left onto Oceanside Blvd.
Turn Left onto Corporate Centre Drive
Turn Right on Antibody Way
Turn Left (destination on the right)
Exit 51b to merge onto CA-78E towards Escondido
Take El Camino Real / County Highway S11exit
Turn Left onto El Camino Real
Turn Right onto Oceanside Blvd.
Turn Left onto Corporate Centre Drive
Turn Right on Antibody Way
Turn Left (destination on the right)
Genentech/Roche Facility 1 Antibody Way, Oceanside
September 26th
2013 (Afternoon)
DPR Facility
4665 MacArthur Court, Suite 100
Newport Beach, CA 92660
(949) 955-3771
Directions to DPR
Traveling Southbound on 405 Freeway Traveling Northbound on 405 Freeway
Take the MacArthur Blvd South exit, EXIT 8
Turn left onto MacArthur Blvd.
Turn left onto Campus Dr
Turn right onto MacArthur Ct
Turn right to stay on MacArthur Ct
4665 MACARTHUR CT is on the left.
Suite 100 is on the first floor.
Take the Jamboree Rd exit, EXIT 7
Turn left onto Jamboree Rd
Turn right onto Campus Dr
Turn left onto MacArthur Ct
4665 MACARTHUR CT is on the left.
Suite 100 is on the first floor.
DPR Facility 4665 MacArthur Court, Ste.100, Newport Beach
September 26th
2013 (Afternoon)
Amgen
One Amgen Center Drive
Thousand Oaks, CA 91320-1799
(805) 447-1000
Directions to Amgen
Traveling Southbound on 101 Freeway Traveling Northbound on 405 and 101 Freeway
Traveling 101 S (towards Los Angeles)
Exit 47A, Borchard Rd. / Rancho Conejo Blvd.
Turn Left on Borchard Rd / Rancho Conejo Blvd
Continue to follow Rancho Conejo Blvd.
Turn Right on Hillcrest Drive
Make a Right into Visitor Building # 34 Parking Lot
Visitors take shuttle to Conference Center
Take 405 N to 101 N (towards Ventura)
Exit 47A, Rancho Conejo Blvd.
Turn Right on Rancho Conejo Blvd
Turn Right on Hillcrest Drive
Make a Right into Visitor Building # 34 Parking Lot
Visitors take shuttle to Conference Center
Amgen - One Amgen Center Drive, Thousand Oaks
EXHIBITOR REGISTRATION FORM
Exhibitor Name: _________________________________________________
Title: ____________________________________________________
Company: ____________________________________________________
Business Address: _______________________________________________
City/Zip: __________________________________________
Business Phone: (____) _______________Fax Number (____) ______________
E-mail Address: __________________________________________________
Event Location: ___ Amgen Facility, Thousand Oaks
___ Genentech / Roche Facility, Oceanside
___ DPR Facility , Newport Beach
Exhibitor: ___$ 300 for one location - includes attendance for one attendee, additional
attendees must use regular registration form
___$ 500 for two locations includes attendance for one attendee at each
location, additional attendees must use register using registration form
___$700 for three locations includes attendance for one attendee at each
location, additional attendees must use register using registration form
Mail Check Payments Payable to: Southern California Chapter of the PDA
ATTN: Bill Nichols
2110 Camino Cantera
Vista, CA 92084
For Visa, MC, or American Express Payments, fax COMPLETED registration form to PDA, Bill Nichols at
(760) 509-4910. Incomplete forms will not be processed. [PLEASE PRINT CLEARLY]
__________________________________ Total to be charged $______.____
Name as it appears on card
___________________________________________________________
Credit Card Billing address, City, State, Zip Code
________________________________________________________________
Card number Expiration Date
________________________________________________________________
Signature Date

More Related Content

Viewers also liked (11)

PDF
LinkedIn Series B deck
Chris Ellis
PPTX
Clean Code Part II - Dependency Injection at SoCal Code Camp
Theo Jungeblut
PPTX
Stratford: Gamify for product camp so cal
ProductCamp SoCal
PDF
So Cal Gas General Session
kiakaha
PDF
Pda socal risk based environmental monitoring 052214
Erica Figueroa
PPT
Presentazione journaux
Moqing Wang
PPTX
Clean Code Part III - Craftsmanship at SoCal Code Camp
Theo Jungeblut
PPTX
Clean Code Part I - Design Patterns at SoCal Code Camp
Theo Jungeblut
PDF
ENVTECH - Pr辿sentation d'un service web
Florian Nisolle
PPTX
SoCal Code Camp 2011 - ASP.NET MVC 4
Jon Galloway
PPTX
SoCal Code Camp 2011 - ASP.NET 4.5
Jon Galloway
LinkedIn Series B deck
Chris Ellis
Clean Code Part II - Dependency Injection at SoCal Code Camp
Theo Jungeblut
Stratford: Gamify for product camp so cal
ProductCamp SoCal
So Cal Gas General Session
kiakaha
Pda socal risk based environmental monitoring 052214
Erica Figueroa
Presentazione journaux
Moqing Wang
Clean Code Part III - Craftsmanship at SoCal Code Camp
Theo Jungeblut
Clean Code Part I - Design Patterns at SoCal Code Camp
Theo Jungeblut
ENVTECH - Pr辿sentation d'un service web
Florian Nisolle
SoCal Code Camp 2011 - ASP.NET MVC 4
Jon Galloway
SoCal Code Camp 2011 - ASP.NET 4.5
Jon Galloway

Similar to So cal pda_event 9-26-2013 (7)

PDF
SoCal PDA Chapter's 6th Annual Industry Summit Expo (Exhibitor)
Erica Figueroa
PDF
SoCal PDA Chapter's 6th Annual Industry Summit Expo (Attendee)
Erica Figueroa
PDF
PDA Registration Forms- May 2014
Erica Figueroa
PDF
Pda q1 2014 event flyer
Erica Figueroa
PDF
Attendee registration form pda may 2014
Erica Figueroa
PDF
Creating the 365 Day Long Conference and Expo 2014
Chelas Poirier
PDF
Exhibitor registration form pda may 2014
Erica Figueroa
SoCal PDA Chapter's 6th Annual Industry Summit Expo (Exhibitor)
Erica Figueroa
SoCal PDA Chapter's 6th Annual Industry Summit Expo (Attendee)
Erica Figueroa
PDA Registration Forms- May 2014
Erica Figueroa
Pda q1 2014 event flyer
Erica Figueroa
Attendee registration form pda may 2014
Erica Figueroa
Creating the 365 Day Long Conference and Expo 2014
Chelas Poirier
Exhibitor registration form pda may 2014
Erica Figueroa
Ad

Recently uploaded (20)

PPTX
Luxury Goods Market Size, Share, Growth, Trends 2025-2034
Saurabh Badoni
PPTX
Baby Solids Food Schedule - Introducing Solids at 5 Months.pptx
Sanchita Daswani
PDF
Netflix Social Watchlists Business Proposal
lexarofficial222
PPTX
Digitally Mastering Insurance Claims - Decision-Centric Claims
Denis Gagn辿
PDF
Books on Display in the Library June 2025 - Matariki
NZSG
PPTX
Black life TeleHealth 3 (1).pptx Business Plan
mdthelackyboy
PDF
Never Enough Summary and Review: From Barista to Billionaire
MohammedTouzani2
PPTX
Essar at IEW 2025, Leading the Way to Indias Green Energy Transition.
essarcase
PDF
PTJ Contracted Manufacturer's Repsentative V.1.pdf
victoryuipworks
PDF
REPORT WRITING for Internal Auditors (considering IIA's Global Internal Audit...
Abdullah Mohammed
PDF
Agro Paper Mill Wastewater Treatment Challenges & Solutions You Need to Know
marketing950658
PPTX
Real Options Analysis in an Era of Market Volatility and Technological Disrup...
abakahmbeahvincent
PPTX
Recovered Paper Market Size, Share & Forecast 2034
Expert Market Research
PDF
SAG Infotech Issues Press Release for Media and Publications
SAG Infotech
PDF
Adnan Imam - A Dynamic Freelance Writer
Adnan Imam
PPTX
Manuscript and Types of Headings used in EDPM.pptx
RosanHaye1
PDF
A Brief Introduction About Dorian Fenwick
Dorian Fenwick
PPTX
Integrating Customer Journey Insights into Your Business Process Management S...
RUPAL AGARWAL
PPTX
business and preparing for good business
jaslehannvillaflor
PDF
Oleksandr Osypenko: 丕仗舒于仍仆仆 舒仂仄 舒 亠舒仄亳 (UA)
Lviv Startup Club
Luxury Goods Market Size, Share, Growth, Trends 2025-2034
Saurabh Badoni
Baby Solids Food Schedule - Introducing Solids at 5 Months.pptx
Sanchita Daswani
Netflix Social Watchlists Business Proposal
lexarofficial222
Digitally Mastering Insurance Claims - Decision-Centric Claims
Denis Gagn辿
Books on Display in the Library June 2025 - Matariki
NZSG
Black life TeleHealth 3 (1).pptx Business Plan
mdthelackyboy
Never Enough Summary and Review: From Barista to Billionaire
MohammedTouzani2
Essar at IEW 2025, Leading the Way to Indias Green Energy Transition.
essarcase
PTJ Contracted Manufacturer's Repsentative V.1.pdf
victoryuipworks
REPORT WRITING for Internal Auditors (considering IIA's Global Internal Audit...
Abdullah Mohammed
Agro Paper Mill Wastewater Treatment Challenges & Solutions You Need to Know
marketing950658
Real Options Analysis in an Era of Market Volatility and Technological Disrup...
abakahmbeahvincent
Recovered Paper Market Size, Share & Forecast 2034
Expert Market Research
SAG Infotech Issues Press Release for Media and Publications
SAG Infotech
Adnan Imam - A Dynamic Freelance Writer
Adnan Imam
Manuscript and Types of Headings used in EDPM.pptx
RosanHaye1
A Brief Introduction About Dorian Fenwick
Dorian Fenwick
Integrating Customer Journey Insights into Your Business Process Management S...
RUPAL AGARWAL
business and preparing for good business
jaslehannvillaflor
Oleksandr Osypenko: 丕仗舒于仍仆仆 舒仂仄 舒 亠舒仄亳 (UA)
Lviv Startup Club
Ad

So cal pda_event 9-26-2013

  • 1. The PDA Southern California Chapter is Proud to Present: Q3 2013 Educational Program Event Presented by: Neil Wilkinson Managing Partner, NSF-DBA, part of NSF Health Sciences Division On the Subject of Implementing ICH Q10: Improving Business Performance How to make it happen September 26th , 2013 (Thursday Afternoon) Registration/Networking: 3:00-4:00PM Presentation/Q&A: 4:00-5:30 PM Networking Resumes: 5:30PM Dinner: 6:00PM (Food & Beverages Provided at All Venues) Three locations to choose from: Amgen Conference Center (Thousand Oaks) DPR Facility (Orange County) Genentech/Roche Facility (Oceanside)
  • 2. Information on Topic & Speaker: Implementing ICH Q10: Improving Business Performance How to make it happen! Presentation Overview: Bio: Neil Wilkinson Managing Partner NSF-DBA ICH Q10 Pharmaceutical Quality System was finalized in 2008 and has become a regulatory expectation in the countries and regions that adopt ICH guidelines, including the US, EU, Japan and others. Implementation across the Pharma/Biotech sector remains patchy, both within individual firms, and across the sector overall. This presentation will discuss the current regulatory agency views on Q10, some of the challenges firms face in implementation, share some novel approaches taken to break down functional silos, and how to provide the business case to executive management. Neil Wilkinson of NSF-DBA was a member of the ICH Q10 Expert Work Group who wrote the guideline and has seen a range of approaches to implementation. Neil Wilkinson has over 25 years experience within the Pharmaceutical Industry gained via a range of Quality, Compliance, Manufacturing, New Products and Supply Chain related roles. His experience includes senior roles within both Site and Corporate organizations and wide experiences of working in different countries, such as EU, USA, Japan, China, India and others. He acted as an EU Qualified Person (QP) for many years. Mr. Wilkinson has represented the Pharmaceutical Industry via the major trade associations in the EU (Efpia) and the USA (PhRMA) as well as within the ICH process, where he was an industry topic lead for the ICH Q10 (Pharmaceutical Quality System) Expert Work Group. Mr. Wilkinson is a Chemist, holding a post-graduate qualification in Pharmaceutical Quality. He remains eligible to act as an EU Qualified Person. His most recent industry role was as Senior Director of Global Quality in AstraZeneca. He has wide experience of educating, auditing and consultancy in Pharmaceutical Quality, Development and Manufacture/Supply.
  • 3. All those who wish to attend must register. ATTENDEES - REGISTER ONLINE OR USING THE REGISTRATION FORM: http://www.pda.org/GlobalEventCalendarandRegistration/Chapters/Southern-California/PDA- Southern-California-Chapter-Educationl-Event-Implementing-ICH-Q10.aspx Or visit PDA website: www.pda.org/southerncalifornia and click Upcoming Events EXHIBITORS FOR EXHIBIT REGISTRATION SEE LAST PAGE For more information - contact Bill Nichols at (760) 639-1741 OR John Holmgren at (714) 246-5562. Early Registration Fee submitted on or before September 24th *: $ 40 Member (food & beverages provided) $ 65 NonMember (food & beverages provided) $ 30 Government employee $ 15 Full-time Student No Charge for Genentech Employees (Oceanside only) No Charge for DPR Employees (Newport Beach only) No Charge for Amgen Employee (Thousand Oaks only) All Amgen, DPR and Genentech/Roche employees must register. *Late registration is available for an additional $10 fee. Complete the form and Mail (if paying by check) or Go to PDA online (link above if paying by credit card). For all check payments, please mail to the address listed below made payable to the Southern California Chapter of the PDA. For all credit card payments, fax it to PDA Treasurer, Bill Nichols at (760) 509-4910. PDA Members: in order to register as a PDA member, you will need to set up a PDA member login with username and password (unless youve already done it).
  • 4. If you are not able to register online, you can register using the attendee registration form on the next page. Please fax your registration with credit card payment to: Bill Nichols at (760) 509-4910. If paying by check, submit the check with the completed registration form to the address below. Mail Check Payments Payable to: Southern California Chapter of the PDA ATTN: Bill Nichols 2110 Camino Cantera Vista, CA 92084 Cancellations: Money is nonrefundable if cancellations are made after Friday September 20th, 2013 EXHIBITOR OPPORTUNITY FEES ARE NOTED ON LAST PAGE. Note, one attendee is included with Exhibitor Fees; additional exhibitor attendees must register using regular registration form on next page.
  • 5. ATTENDEE REGISTRATION FORM CHECK OR CREDIT CARD Attendee Name: __________________________________________________ Title: ____________________________________________________ Company: ____________________________________________________ Business Address: _______________________________________________ City/Zip: __________________________________________ Business Phone: (____) _______________Fax Number (____) ______________ E-mail Address: __________________________________________________ Event Location: ___ Amgen Facility, Thousand Oaks ___ Genentech / Roche Facility, Oceanside ___ DPR, Newport Beach Attendee Early Registration Fee: ___$ 40 Member (ID #___________________) Submitted on or ___$ 65 Non-Member before Sept 24th ___$ 30 Government employee ___$ 15 Student ___ Free (Amgen T.O., DPR Newport or Genentech/Roche Oceanside) Attendee Late Registration or ___$ 50 Member (ID #___________________) Walk-In Fee: ___$ 75 Non-Member Submitted on ___$ 40 Government employee Sept. 25th or ___$ 25 Student day of event ___ Free (Amgen T.O., DPR Newport or Genentech/Roche Oceanside) For Visa, MC, or American Express Payments, fax COMPLETED registration form to PDA, Bill Nichols at (760) 509-4910. Incomplete forms will not be processed. [PLEASE PRINT CLEARLY] __________________________________ Total to be charged $______.____ Name as it appears on card ___________________________________________________________ Credit Card Billing address, City, State, Zip Code ________________________________________________________________ Card number Expiration Date ________________________________________________________________ Signature Date
  • 6. Event Locations & Directions September 26th 2013 (Afternoon) Genentech/Roche Oceanside Facility 1 Antibody Way Oceanside, CA 92056 (760) 231-2440 Directions to Genentech/Roche Traveling Southbound on 5 Freeway Traveling Northbound on 5 Freeway Exit for Oceanside Blvd (exit 52) Turn Left onto Oceanside Blvd. Turn Left onto Corporate Centre Drive Turn Right on Antibody Way Turn Left (destination on the right) Exit 51b to merge onto CA-78E towards Escondido Take El Camino Real / County Highway S11exit Turn Left onto El Camino Real Turn Right onto Oceanside Blvd. Turn Left onto Corporate Centre Drive Turn Right on Antibody Way Turn Left (destination on the right) Genentech/Roche Facility 1 Antibody Way, Oceanside
  • 7. September 26th 2013 (Afternoon) DPR Facility 4665 MacArthur Court, Suite 100 Newport Beach, CA 92660 (949) 955-3771 Directions to DPR Traveling Southbound on 405 Freeway Traveling Northbound on 405 Freeway Take the MacArthur Blvd South exit, EXIT 8 Turn left onto MacArthur Blvd. Turn left onto Campus Dr Turn right onto MacArthur Ct Turn right to stay on MacArthur Ct 4665 MACARTHUR CT is on the left. Suite 100 is on the first floor. Take the Jamboree Rd exit, EXIT 7 Turn left onto Jamboree Rd Turn right onto Campus Dr Turn left onto MacArthur Ct 4665 MACARTHUR CT is on the left. Suite 100 is on the first floor. DPR Facility 4665 MacArthur Court, Ste.100, Newport Beach
  • 8. September 26th 2013 (Afternoon) Amgen One Amgen Center Drive Thousand Oaks, CA 91320-1799 (805) 447-1000 Directions to Amgen Traveling Southbound on 101 Freeway Traveling Northbound on 405 and 101 Freeway Traveling 101 S (towards Los Angeles) Exit 47A, Borchard Rd. / Rancho Conejo Blvd. Turn Left on Borchard Rd / Rancho Conejo Blvd Continue to follow Rancho Conejo Blvd. Turn Right on Hillcrest Drive Make a Right into Visitor Building # 34 Parking Lot Visitors take shuttle to Conference Center Take 405 N to 101 N (towards Ventura) Exit 47A, Rancho Conejo Blvd. Turn Right on Rancho Conejo Blvd Turn Right on Hillcrest Drive Make a Right into Visitor Building # 34 Parking Lot Visitors take shuttle to Conference Center Amgen - One Amgen Center Drive, Thousand Oaks
  • 9. EXHIBITOR REGISTRATION FORM Exhibitor Name: _________________________________________________ Title: ____________________________________________________ Company: ____________________________________________________ Business Address: _______________________________________________ City/Zip: __________________________________________ Business Phone: (____) _______________Fax Number (____) ______________ E-mail Address: __________________________________________________ Event Location: ___ Amgen Facility, Thousand Oaks ___ Genentech / Roche Facility, Oceanside ___ DPR Facility , Newport Beach Exhibitor: ___$ 300 for one location - includes attendance for one attendee, additional attendees must use regular registration form ___$ 500 for two locations includes attendance for one attendee at each location, additional attendees must use register using registration form ___$700 for three locations includes attendance for one attendee at each location, additional attendees must use register using registration form Mail Check Payments Payable to: Southern California Chapter of the PDA ATTN: Bill Nichols 2110 Camino Cantera Vista, CA 92084 For Visa, MC, or American Express Payments, fax COMPLETED registration form to PDA, Bill Nichols at (760) 509-4910. Incomplete forms will not be processed. [PLEASE PRINT CLEARLY] __________________________________ Total to be charged $______.____ Name as it appears on card ___________________________________________________________ Credit Card Billing address, City, State, Zip Code ________________________________________________________________ Card number Expiration Date ________________________________________________________________ Signature Date