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BIO 2017 Application to participate in the Atlantic Canada Delegation

Please fill in the following fields to participate in the Atlantic Canada mission to the BIO 2017 International Convention & Trade show taking place in San Diego, June 19 - 22. The information provided will be used to assess your business and research needs, as well as your goals for attending. The information provided will be used as criteria for follow-up reporting on this project. And the profile information will be used for marketing materials for BIO.

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* 1. Name of your company/Research organization:

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* 2. Organization Profile:

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* 3. Key Company contact information:

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* 4. Name & Title of all attending Personnel

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* 5. Will you be registering as a Full Conference Participant?
PLEASE NOTE: IF YOU ARE REGISTERING AS A FULL CONFERENCE PARTICIPANT IT WILL BE YOUR RESPONSIBILITY TO REGISTER AND PAY DIRECTLY at www.convention.bio.org

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* 6. If participating as "Exhibitor only", please indicate if you will require an Exhibitor Partnering Account? 

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* 7. Please list your objectives & goals for attending BIO 2017

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* 8. What is your company's primary objective for attending BIO 2017?

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* 9. Have you identified any contacts from the U.S. or other countries attending BIO 2017 that you wish to meet with?

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* 10. What is your company's stage of development?

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* 11. Please indicate the features of other companies, individuals or organizations that would be ideal contacts for your company/ Research Organization at BIO 2017:

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* 12. Is your company currently involved in export activity?

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* 13. Please describe what a "successful outcome" from your participation in this mission to BIO 2017 would look like?

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* 14. By submitting this Registration Form to participate in the Atlantic Canada Mission to BIO 2017, your organization will be required to pay a $600 participation fee and will be required to fill in and submit an EXIT SURVEY detailing your organization's activities at the BIO 2017 International Convention.