* First Name:
* Last Name:
* What is your specialty: Affinity Chromatography LC-MS Atomic (Absorption/Emission/Plasma) Mass (MALDI-TOF, MS-MS) Capillary electrochromatography NMR/MRI/EPR Capillary Electrophoresis Other Laser-Source Techniques Chiral Chromatography Preparative/Process Chromatography Fluorescence Raman Gas Chromatography Size-Exclusion Chromatography GC-MS Solid Phase Extraction HPLC Supercritical Fluid Chromatography UHPLC Thin Layer Chromatography ICP, ICP-MS UV/VIS Infrared (including FT-IR & NIRS) X-Ray Analysis Ion Chromatography Flash Chromatography practicing ophthalmologist ophthalmic fellow or resident optometrist other
* Which best describes your professional classification (fill in one only): Academia Hospitals Agriculture/Food/Beverage Hotels Architecture/Engineering/Construction Ingredients Biodiagnostic Process Development IT Products & Services Biopharmaceuticals Labs -- Analytical Biotechnology Legal Consultant Manufacturing/Processing Cosmetics/Toiletries Marketing communications (including advertising & PR agencies) CRO MCOs Data Management Medical Affairs Drug Development Medical Device Electronics/Semiconductors Packaging Energy/Petroleum/Fuels Pharmaceutical Environmental Pharmacy/Drug Store Finance Plastics/Polymers/Rubber Forensics/Narcotics R&D Government Third-party meeting planner Heathcare Clinics member of group solo practitioner academic/teaching fellow/resident military/armed forces Other
* Function (please check all that apply): Academic Legal Regulatory Affairs Finance Manufacturing/Processing Reimbursement Business Development Market Research Sales management Clinical Marketing Scientific Consultant Media Planning Supply Chain Corporate Management Medicare/Medicaid Technology Transfer Drug Safety Medical Affairs Validation Engineering Meeting Planner Clinical research Environmental Packaging Commercialization Managed Care Procurement Compliance HR Project Management Outcomes IT QA/QC Pharmacy Lab Management R&D Other