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J A N U A RY 2 5 > 2 9S A N D I E G O C O N V E N T I O NC E N T E R | C A
YOUR ORGANIZATION’S TYPE: (CHECK ONE ONLY) q Commercial Entity q Consultancy q Contract Service Provider q Government
q Hospital/Clinic/Healthcare q Non-Profit Academic/University/ Research Organization
q Non-Profit Entity (Non-Research) q Decline to Respond
INDICATE YOUR PRIMARY ROLE: (CHECK ONE ONLY) q User/Consumer of Products and/or Services
q Developer of Technologies, Devices or Products
q Provider of Products and/ or Services
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YOUR AREA OF WORK FOCUS: (CHECK ALL THAT APPLY) q Agricultural Science q Chemical Industry q Clinical Diagnostics q Consumer Products
q Energy/Fuel q Food Science q Laboratory Technology/Instruments q Licensing/Technology Transfer q Medical Devices q Pharmaceutical/Biopharmaceutical/
Therapeuticsq Research/Engineering q Decline to Respond
q Other (specify) _________________________________________________________________________________________________________________________
INDICATE ROLE IN PURCHASING PROCESS: (CHECK ONE ONLY)q Approver/Final Decision Maker q Influencer q Specify Products/Releases q Not Involved in Purchasing Decisionsq Decline to Respond
INDICATE YOUR PRIMARY JOB FUNCTION: (CHECK ONE ONLY)q Administrative Support q Consultant q Engineer/Technologist/Technician q Faculty (Professor, Instructor, PI)q Informatics q Information Technologist q Legal q Licensing/Technology Transferq Management (Director, Manager, Department Head)
q Media q Purchasing q Researcher
q Retired q Sales/Marketing/Business Development/Product Management
q Student Graduate q Student Undergraduate
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INDICATE YOUR PRIMARY INTEREST AREA: (CHECK ALL THAT APPLY)q Basic Research q Diagnostics q Drug Development q Drug Discoveryq Engineering/Bioengineering q Healthcare q Informatics/Bioinformatics/
Computational Science q Laboratory Technology/ Instrumentation/Automation
q Life Sciences Non-Drug Discovery q Medical Devices q Micro-Nanotechnology q Technology Transferq Other (specify) _________________________________________________________________________________________________________________________ q Decline to Respond
First Name: _______________________________________________________________________________ Last Name: _________________________________________________________________________________________________________
Job Title: __________________________________________________________________________________________________________ Company Name: __________________________________________________________________________________________________
Mailing Address: q Work q Home Street Address: ____________________________________________________________________________________________________ City: _________________________________________________________________________________________ State/Province: _________ Zip/Postal Code: ____________________________Country: ____________________________
Telephone: ________________________________ Mobile: ______________________________________________________________________ Email: _________________________________________________________________________________
q Check this box if you do not wish to be included in promotional mailings from SLAS2020 Exhibitors. Is this your first time attending the SLAS International Conference & Exhibition? _____YES _____NO
Register online at SLAS2020.org or complete this form. A $50 cancellation fee will be charged on cancellations received on or before December 6, 2019. No refunds will be given on cancellations received after December 6, 2019..
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If your badge gets scanned onsite by an exhibitor, you will automatically be opted in to receive email information from SLAS2020 Exhibitors.
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CONFERENCE TRACK IN WHICH YOU ARE MOST INTERESTED: (CHECK ONE ONLY)q Advances in Bioanalytics and Biomarkers
q Assay Development and Screening q Automation and High-Throughput Technologies
q Biologics Discovery
q Cellular Technologies q Data Analysis and Informatics q Drug Target Strategies q Micro- and Nanotechnologies
q Molecular Libraries q Precision Medicine Technologies q Decline to Respond
THE YEAR I BECAME INVOLVED IN LIFE SCIENCES: ____________________________________________________________________________
GENDER I IDENTIFY WITH: (CHECK ONE ONLY) q Male q Female q Decline to Respond q Other
MY YEAR OF BIRTH: (CHECK ONE ONLY) q <1940 q 1940-1949 q 1950-1959 q 1960-1969
q 1970-1979 q 1980-1989 q 1990-1999 q Decline to Respond
FIRST TIME ATTENDING SLAS INTERNATIONAL CONFERENCE & EXHIBITION q YES
I AM A STUDENT q YES
MY EDUCATIONAL INTERESTS: (CHECK ALL THAT APPLY) q Advances in Bioanalytics and Biomarkers
q Assay Development and Screening q Automation and High-Throughput Technologies
q Biologics Discovery
q Cellular Technologies q Data Analysis and Informatics q Drug Target Strategies q Micro- and Nanotechnologies q Molecular Libraries q Precision Medicine Technologies q Decline to Respond
SPECIAL INTEREST GROUPS: (CHECK ALL THAT APPLY)q 3D Printing and Additive Manufacturing
q Academic Drug Discovery q ADMET q Automated Sample Preparation of Pharmaceutical Dosage Forms
q Automation Quality Control q Compound Combination Screening q Drug Repurposing q High-Content Screening/High-Content Analysis Data and Informatics
q Informatics q Labware Leachables q Phenotypic Drug Discovery q Sample Managementq Screen Design and Assay Technology
q Standards Initiatives q Stem Cells and 3D Microtissues q Technology Transfer and CRO/CMO Project Management
q Ultra-High-Throughput Screening q Women Professionals in Science and Technology
q Decline to Respond
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CONFERENCE AND SHORT COURSE REGISTRATION FORM (CONTINUED)
CONFERENCE AND SHORT COURSE REGISTRATION FORM
LEVELS OF MEMBERSHIP: (FOR ADDITIONAL MEMBERSHIP INFORMATION VISIT: WWW.SLAS.ORG/MEMBERSHIP)Premier Member $139 Select one journal: q SLAS Discovery q SLAS Technology q Premier Plus Member $199 Includes subscription & online access to both journals.
Premier Emerging Economies $70 Online access to one journal, please select one: q SLAS Discovery q SLAS Technology q Premier Plus Emerging Economies $115 Includes online access to both journals.
Premier Early Career Professional $70 Online access to one journal, please select one: q SLAS Discovery q SLAS Technologyq Premier Plus Early Career Professional $115 Includes online access to both journals.
Premier Retired $70 Online access to one journal, please select one: q SLAS Discovery q SLAS Technologyq Premier Plus Retired $115 Includes online access to both journals.
Premier Student $39 Online access to one journal, please select one: q SLAS Discovery q SLAS Technology q Premier Plus Student $70 Includes online access to both journals.
On or Before October 31, 2019
Between November 1 &
December 9, 2019
Between December 10, 2019 &
January 23, 2020
Onsite (After January 24, 2020)
One Day (Onsite Only)
SLAS Member
Non-Member
SLAS Member
Non-Member
SLAS Member
Non-Member
SLAS Member
Non-Member
SLAS Member
Non-Member
q Industry Participant $809 $1,199 $899 $1,199 $1,099 $1,399 $1,299 $1,599 $645 $795
q Academic/ Government Participant $809 $1,199 $899 $1,199 $899 $1,199 $899 $1,199 $645 $795
q Student Participant $100 $150 $100 $150 $100 $150 $100 $150 $100 $150q Exhibition Only Participant (Full Event) (Registration is required. Those without badge will not be allowed access to the Exhibition.)
$199 $199 $199 $199 $199 $199 $199 $199 $199 $199
q Exhibition Only Participant (One Day) (Registration is required. Those without badge will not be allowed access to the Exhibition.)
$99 $99 $99 $99 $99 $99 $99 $99 $99 $99
COURSE TITLE Course Time Member Non-Member Student
ONE-DAY COURSES: SATURDAY | JANUARY 25, 2020
q Assay Guidance Workshop for High-Throughput Screening and Lead Discovery 8:30 a.m. - 5:00 p.m. $495 $495 NA
q Phenotypic Screening: Why, When and How 8:30 a.m. - 4:30 p.m. $675 $795 $100
q Applications of Biophysical Methods in Small-Molecule Drug Discovery 8:30 a.m. - 4:30 p.m. $675 $795 $100
q Streamlining your Laboratory with Python, an Introduction (Laptop Required) (NEW!) 8:30 a.m. - 4:30 p.m. $675 $795 $100
q Sample Management: Best Practice, Trends and Challenges 8:30 a.m. - 4:30 p.m. $675 $795 $100
HALF-DAY COURSES: SATURDAY | JANUARY 25, 2020
q Introduction to Flow Cytometry 8:30 a.m. - 12:00 p.m. $345 $415 $100
q Advanced Flow Cytometry 1:00 p.m. - 4:30 p.m. $345 $415 $100
ONE-DAY COURSES: SUNDAY | JANUARY 26, 2020
q 3D Printing for Scientific Applications (Live Demo) 8:30 a.m. - 4:30 p.m. $675 $795 $100
q Data Management in the Age of Big Data, Mobile, and the Cloud 8:30 a.m. - 4:30 p.m. $675 $795 $100
q Lab-on-a-Chip: From Technology to Bioanalysis on Chip 8:30 a.m. - 4:30 p.m. $675 $795 $100
q Microcontrollers, the IoT and our Laboratories (Hands On, Laptop Required) 8:30 a.m. - 4:30 p.m. $725 $825 $150
q Why it Matters: Value Propositions in Scientific Innovation (Laptop Required) 8:30 a.m. - 4:30 p.m. $675 $795 $100
Short Courses Check box of selected course. (Short Course Only registration is available but does NOT include entrance into the Exhibition.) IMPORTANT NOTE: Courses below listed as “Laptop Required” require registrants to bring their own computer. Internet access and charging stations are provided free of charge in each course room. Software specifics are included at SLAS2020.org.
Access the SLAS2020 Online Registration Form.
Conference Registration
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CONFERENCE AND SHORT COURSE REGISTRATION FORM (CONTINUED)
q Introduction to Laboratory Automation 8:30 a.m. - 4:30 p.m. $675 $795 $100
q 3D Cell-Based Assays for Drug De-Risking 8:30 a.m. - 4:30 p.m. $675 $795 $100
q High-Content Screening: An Introduction to Instrumentation, Assay Development, Screening, Image and Data Analysis 8:30 a.m. - 4:30 p.m. $675 $795 $100
q Data Analytics with KNIME (Laptop Required) (NEW!) 8:30 a.m. - 4:30 p.m. $675 $795 $100
HALF-DAY COURSES: SUNDAY | JANUARY 26, 2020
q Pharmacological Target Engagement and Validation (NEW!) 8:30 a.m. - 12:00 p.m. $345 $415 $100
q Genome Editing Applications in Drug Discovery and Target Validation 1:00 p.m. - 4:30 p.m. $345 $415 $100
q Set-up and Validation of 3D Primary, Stem Cell and Immortalized Cultures for Downstream Microplate Reader and Imaging Applications 8:30 a.m. - 12:00 p.m. $345 $415 $100
q An Introduction to Mass Spectrometry and its Applications within Drug Discovery 1:00 p.m. - 4:30 p.m. $345 $415 $100
q Liquid Handling Essentials (Hands On) (Morning) 8:30 a.m. - 12:00 p.m. $575 $695 NA
q Liquid Handling Essentials (Hands On) (Afternoon) 1:00 p.m. - 4:30 p.m. $575 $695 NA
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CONFERENCE AND SHORT COURSE REGISTRATION FORM (CONTINUED)
QUESTIONS? +1.508.743.8572 [tel] or [email protected] SEND TO: SLAS2020 Registration c/o Convention Data Services, 7 Technology Park Drive, Bourne, MA 02532 or +1.508.743.3640 [fax]
Conference Payment Payment must accompany registration form. Credit cards will be charged upon receipt. In the event that the total amount due is miscalculated on this form, the registrant authorizes Convention Data Services to adjust the amount due and to charge the correct amount.
Conference Registration Fee: $_________________
Short Course Fee: $__________________
Membership Dues: $__________________
Special Event Options: $__________________
SLAS 10th Anniversary Educational Fund donation (Optional): $10 $25 $50 $75 $100
Payment Total: $________________________
Please include payment for the total amount.
q Credit Card Number: ____________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________________________________________________________ Authorized Signature Name as it Appears on Card
Terms and Conditions: By signing this registration form, I “the conferee” acknowledge and agree to the terms and conditions as posted on SLAS2020.org.
Should you require special assistance due to a medical disability, please contact SLAS Headquarters at +1.877.990.SLAS (7527), ext. 101, or email [email protected].
MasterCard, VISA, American Express, Discover Exp. Date
If your badge gets scanned onsite by an exhibitor, you will automatically be opted in to receive email information from SLAS2020 Exhibitors.
SPECIAL EVENT: TUESDAY | JANUARY 28, 2020
SLAS FUNd Run (choose one of the following registration options): 6:30 a.m. start
q Make a $25 donation to the SLAS 10th Anniversary Educational Grant Fund. Contributors will receive a commemorative FUNd Run performance shirt. Indicate shirt size (Unisex): __ S __ M __ L __ XL (T-shirt deadline: December 9th)
q FREE. Does not include a FUNd Run t-shirt.