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	*Bio-IT World* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Bio-IT World*, please answer ALL of the questions on the form below.
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	Geographic Eligibility: USA (Print or Digital Versions), Canada & Select International (Digital Version Only)

1.	*Do you wish to receive a FREE subscription to Bio-IT World?*

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3.	Do you buy, recommend, or specify technology products, systems, or services used by your organization in life science applications?

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4.	Which category best describes your JOB FUNCTION? (select all that apply)

Primary Job Function Select All That Apply

Scientific/R&D Management

Clinical Trials Management

Information Technology/Information System Management

Organizational/Executive Management

Regulatory/Government Affairs

Academic Head/Professor/Faculty

Technology/Business/Legal Consultant

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5.	Which category best describes your organization? (select all that apply)

Primary Business Select All That Apply

Biopharma/Chemicals

Biotech/Bioinformatics

Academia/Government

Clinical Trial Research/CRO

Hospital Lab/Healthcare

Other (please specify)

6.	Approximately how many people are employed by your organization at all locations? (select only one)

More than 40,000 500 - 999

20,000 - 39,999 100 - 499

10,000 - 19,999 50 - 99

5,000 - 9,999 Less than 50

1,000 - 4,999

7.	Which of the following products or services do you plan to buy, evaluate, specify, recommend or approve? (select all that apply)

INFORMATICS TOOLS/SOFTWARE LAB EQUIPMENT & INSTRUMENTATION cont.

Bioinformatics Preclinical/Animal Models

Cheminformatics Mass Spectrometry

Data Analysis Tools Microarray Platforms/Software

Discovery Informatics High-Throughput Screening

Pathway Analysis/Modeling COLLABORATION, COMPLIANCE & DOCUMENT MANAGEMENT

Applications Development/Security Software Data Management Platforms

LIMS EDC/Data Management Systems

COMPUTING eLab Notebooks

Enterprise Software (ERP, SCM, CRM) Electronic Clinical Trial Software, Technologies

High Performance Computing, Supercomputers Document/Knowledge Management/Collaboration

Mobile Communications, PDAs, Handhelds Patient Diaries

Networking Infrastructure Regulatory Compliance

Servers, Storage, PCs, Clusters PROFESSIONAL SERVICES

LAB EQUIPMENT & INSTRUMENTATION Business/Financial Services

DNA Sequencers Legal Services (IP, Patent, etc.)

Genomic Instrumentation Systems Integration Services

Imaging Contract Lab Services (CROs)

Lab Automation/Robotics

None of the Above

8.	Please check which publications you receive by mail: (select all that apply)

BioPharm International Nature

CIO, ComputerWorld or InfoWorld Nature Biotechnology

Contract Pharma PharmaGenomics

Drug Discovery & Development Science

eWeek or InformationWeek Scientific Computing & Instrumentation

Genetic Engineering News Applied Clinical Trials

Genome Technology Other (please specify)

9.	Which category best describes your Field/Discipline? (select all that apply)

Basic Research Drug Discovery

Clinical Research IT Infrastructure

Computational Biology Translational Medicine

Discovery Informatics Other (please specify)

Drug Development

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