BIO Investor Forum: Application to Present

March 28, 2012

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The application for the 12th annual event is open! Please fill out the information below for consideration.

The goal of the 12th Annual BIO Investor Forum is to bring together early and established private companies, as well as emerging public companies, with top private and public equity investors. A key programming element, Presentations allow companies to discuss their pipeline, R&D activities, and future goals to this exclusive audience, fostering the development of important new medicines that will expand the industry’s pipeline.

Companies interested in presenting must focus on biotechnology therapeutics, and those exclusively developing medical devices, platform technologies, or diagnostics will not be considered.

To submit an application, please complete the form below. You will recieve an email regarding the status of your application in the coming weeks. For more information on company presentations, including registration and presentation fees, please click here.

Only the Company Description and Therapeutic Area of Focus may be used in conference materials. Other information below is used for selection purposes only and will not be printed in conference handbooks, or as profiles for the partnering system.

Name of Company: *

Address Line 1: *

Address Line 2:

City: *

State: *

Zip: *

Country: *

Website: *

Primary Contact Name: *

Primary Contact Title: *

Primary Contact Email: *

Primary Contact Phone:

Company Twitter Handle:

Company CEO and/or Top Company Official:

Ownership: *

Most Recent Round of Funding Completed: *

For Private Companies
All Fields Require. Enter N/A if Public Company

Total Amount Raised To-Date: *

For Private Companies
All Fields Require. Enter N/A if Public Company

Previous and Current Investors:

List up to 10

Exchange: *

For Public Companies
All Fields Require. Enter N/A if Public Company

Ticker: *

For Public Companies
All Fields Require. Enter N/A if Public Company

I acknowledge that my Company Description may be used on BIO’s websites and conference materials: *

Yes

Company Description: *

Please provide a 2-3 sentence description about your company. Longer submissions will be edited.

Presentation Objective: *

2,000 Characters or Less

Therapeutic Area(s) of Focus: *

Technology & Current Research:

2,000 characters or less

Partnership Strategy, Current Alliances, & Recent Milestones :

2,000 characters or less

Additional Information:

Who referred you to this application?: *

BIO Investor Forum: Application to Present

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