Applied Clinical Trials
  Applied Clinical Trials is free to qualified professionals. Summary Description
  To apply for a FREE subscription to Applied Clinical Trials, please answer ALL of the questions on the form below.
  The magazine publisher determines qualification and reserves the right to limit the number of free subscriptions.
  Geographic Eligibility: USA, Canada, Selected Western Europe


 
1. Do you wish to receive a FREE subscription to Applied Clinical Trials?
Yes     No


First Name:
Last Name:
Job Title:
(Ex: Director, Vice President, Project Manager, etc.)
Company:
(Please provide your Company Name in full: abbreviations could disqualify you)
Address:
Address2:
City:
State/Province:
Zip Code:
Country:
(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Phone:
Fax:
Email Address:
(Note: Valid email address is required or you could be disqualified.)
Is this your home address? Yes     No

Advanstar Communications provides certain customer contact data (such as customers' names, addresses, phone numbers and email addresses) to third parties who wish to promote relevant products, services and other opportunities which may be of interest to you. If you do not want Advanstar Communications to make your contact information available to third parties for marketing purposes, check below.
No, do not provide my contact data to third parties.
 
Yes, please auto-fill my contact information for other publication qualification forms.
  What is the approximate number of employees in your company? (select only one)


2. My primary business is: (select only one)
Pharmaceutical/Biopharmaceutical/Biologics Company Data Management
Contract Research Organization (CRO) Government
Trial/Site Management Organization (TMO/SMO) Drug Development/Clinical Trials Consulting Company
Clinical Study/Investigative Site (includes Academic/Medical Research Facility) Independent CRA
Clinical Laboratory Other (please specify)


3. My primary job function is: (select only one)
Research & Development/Project Management (includes Trials Design/Protocol Development)
Clinical Trials Management
Clinical Research Associate (CRA/Monitor)
Clinical Research Coordinator (CRC, Study Coordinator, Research Nurse)
Clinical Trials/GCP Auditing/QA/QC
Laboratory Analysis
Data Management/Analysis/Biostatistics
Regulatory Affairs/Compliance (includes Drug Safety & Pharmacoviligilance)
Marketing
Corporate Management (includes Medical Director/Medical Affairs)
Academic/Research/Teaching
IT Management
Outsourcing
Other (please specify)


4. What is your involvement in the purchase of products or services for research or clinical trials? (select all that apply)
Buy Recommend
Specify None of the above
Evaluate


5. Would you also like to receive Applied Clinical Trial's quarterly e-newsletter, LabViews?
Yes


6. Would you also like to receive Applied Clinical Trial's quarterly e-newsletter, EDC News?
Yes


7. My job title is: (select only one)
CEO/President/Managing Director Manager
Project Manager/Leader Associate Director
Vice President/Director Medical Director/Director of Medical Affairs
Professor/Academic Position Clinical Data Specialist
Supervisor of Clinical Systems Clinical Research Coordinator (CRC)
QC/QA Officer Other (please specify)
Clinical Research Associate/Monitor (CRA)


8. To permit future verification of your request, please answer ONE of the following questions: What is your state of birth? OR What is your year of birth?


  Would you like to receive EMAIL notices of other print or online publications, and other relevant offers from TradePub.com?
Yes     No
  Sign up for special offer alerts from select partners featuring the latest products and services you are interested in.
Yes     No
Related FREE Offers from TradePub.com: Check those you wish to receive.
c_hldr I wish to receive a FREE subscription to HealthLeaders Magazine - provides a monthly look at the issues and trends that are shaping the business of healthcare today. Subscribe today and read about the latest trends in market strategy, finance, technology, policy, culture and innovation. Note: Offer Valid in USA (Print Edition Only).
  In lieu of a signature, HealthLeaders Media requires a unique identifier used only for subscription verification purposes. What is your month of birth?
  Which of the following best describes your place of employment?  
Please specify for Other:
  Which of the following titles most closely describes your position/title?  
Please specify for Other:
  Which best classifies your place of employment by the number of beds?
  Which best classifies your place of employment by the number of sites within your organization?
  Which best classifies your place of employment by the number of physicians?
  Which best classifies your place of employment by the number of enrollees?
c_lb I wish to receive a FREE subscription to Lab Animal, a peer-reviewed journal publishing timely and informative editorial material emphasizing proper management and care. Lab Animal reaches over 10,000 professionals in both the academic world and applied research industries. Note: Offer Valid in USA Canada, Mexico Only.
Lab Animal may wish to keep you informed about their products, services and special offers. Please check this box if you wish to receive this information.
Please check here if you would prefer to receive relevant information from selected companies other than Lab Animal.
  Which best describes your laboratory?
Please specify for Other:
  Which animals do you work with? (select all that apply)  
Amphibians Lagomorphs Rodents
Cats/Dogs/Ferrets Nonhuman Primates Other
Domestic/Farm Animals
Please specify for Other:
  Which best describes your title?
Please specify for Other:
  Which products do you use? (select all that apply)  
Biosafety Equipment HVAC Surgical Equipment
Caging/Housing Monitoring Equipment Enrichment Equipment
Contract Services Specialized Diets Veterinary Care Equipment
Feeders/Water Systems Sterilization Equipment Other
Husbandry
Please specify for Other:
  In lieu of a signature, Nature Publishing Group asks a personal identifying question. What is your shoe size?
I wish to receive a FREE subscription to Genetic Engineering & Biotechnology News (GEN), the only high-frequency publication dedicated to biotech news, from bench to business, was introduced in 1981 as the first biotechnology trade publication. Now in its 27th year, GEN retains its position as the most widely read biotechnology publication around the globe. Published 21 times a year, GEN's unique news and technology content focus includes the entire bioproduct life cycle from early-stage R&D to applied research and bioprocess through to commercialization. GEN is the only publication that provides the full range of the biotechnology market coverage in areas such as omics, drug and biomarker discovery, bioprocessing, clinical research, molecular diagnostics, and biobusiness. Note: Offer Valid for Selected International.
Email Notifications: By subscribing to Genetic Engineering & Biotechnology News, you agree to receive GEN promotional materials by email. You may opt-out of these emails at any time by clicking on the unsubscribe link in the email or updating your profile on the Genetic Engineering & Biotechnology News website. Your email address is used for GEN promotional purposes only and will not be distributed to other parties.
  Job Function: (select only one)


Please specify for Other.
  Organization: (select only one)


Please specify for Other.
  Technologies: (select all that apply)
Molecular Biology Tissue Engineering
Gene Expression Transgenics
Genomics Bioreactors/Fermentation
Nucleic Acid Isolation/Purification Filtration
Nucleic Acid Sequencing Process Monitoring
Nucleic Acid Synthesis Purification
PCR Separations
Quantitative PCR Analytical/Medicinal Chemistry
RNAi/siRNA ADME/Tox
Transfection Assay Development
Proteomics Drug Delivery
Biomarkers Gene Therapy
Peptides High-throughput Screening
Protein Sequencing Metabolomics
Protein Expression & Purification Protein/Drug Design
Protein-Protein Interaction Analysis Automation/Robotics
Cell/Tissue Culture Chromatography
Cell Based Analysis Electrophoresis
Cell-based Technologies HPLC
Immunology Image Analysis
Microscopy Mass Spectrometry
Monoclonal Antibodies Software/Informatics
Stem Cells
  Area of Focus: (select all that apply)
Drug Discovery Chemicals
Biologicals Supplier/Instrumentation
Manufacturing/Packaging Toxicology
Environmental Pharmaceuticals
Animal Health Contract Manufacturing
Supplier/Reagent Clinical Trials
Molecular Biology Contract Research
Research/Development Agriculture
Bioprocessing/Scale-up Food Processing
Industrial Biotechnology Other
Molecular Diagnostics
  Do you specify, influence, recommend, or buy products and services associated with biotechnology/pharmaceutical/life science research and development?
Yes     No
  In lieu of a signature, Mary Ann Liebert, Inc.'s require a personal identifier. To verify that you submitted this subscription request, what is the state/province where you were born?
c_cdr I wish to receive a FREE subscription to Chain Drug Review. Hard-hitting, thorough coverage of vital industry concerns continues to be the hallmark of Chain Drug Review. Squarely confronting the challenges of the chain drug industry has made them the preferred choice of chain drug executives and buyers as they arm themselves with the latest information and data critical to assuring their success in today's competitive marketplace. Note: Offer Valid in USA, Canada Only.
By providing your email address, you are granting Chain Drug Review permission to contact you regarding your subscription. Please note, your email address will not be shared with any third party. If you do not wish to receive other email promotions from Chain Drug Review/Racher Press Inc., check here.
  In lieu of a signature, Racher Press, Inc. requires a unique identifier used only for subscription verification purposes. What state were you born in?
  My title is:
Please Specify for Other:
Please Specify for Other:
  My primary business activity is:
Please Specify for Other:
  My Business Location is best described as:
Please Specify for Other:
  Number of Stores my business operates:
Do you recommend, approve or purchase any of the products listed below? (select all that apply)
H&BA/Cosmetics Snacks/Beverages
Rx Drugs/Generics Automotive
OTC Drugs/Vitamins Toys
Photo/Batteries Audio Video
Jewelry Private Label
Tobacco Other
Greeting Cards/Stationary
Please Specify for Other:
Magazines/Books None of the above


 
Security Check: Enter both words below, separated by a space.

     

* Note that a valid email address is required to fulfill your request. Please verify that the email and mailing address you provided are accurate before hitting the submit button.
* The publisher reserves the right to limit the number of free subscriptions and/or reject requests based on information provided.
Problems with the form? Webmaster@TradePub.com
Copyright © 2009 NetLine Corporation, All Rights Reserved.
Copyright © 2009 Applied Clinical Trials, All Rights Reserved.