Please send us news of your company's biotechnology products in Phase III trials. Take a moment to fill out this form and fax it back to the number at the bottom of the page.

Directions: Please answer all of the questions below. Here is an example:

Product Name: Leukine
Product Type: Colony stimulating factor
Indication: Postoperative infections
Status: Entered Phase III early 1994; PLA supplement filed; completion expected late 1996 or early 1997


Company Name

Your Name/Title

Phone Number

Product Name

Product Type

Indication

Status

Thank you for your participation. Please fax this survey to: (800) 850-1232 or (404) 814-0759

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