Pre-Registration Form

World Conference

Intellectual Property Rights

Thursday, January 19, 2006

The United Nations

Please complete and submit this form. You may print it out, complete it and send it by e-mail, regular mail or fax

Deadline for Pre-Registration is December 1, 2006. Reservations will be taken in the order received.

Pease provide the following information:

         Mr/Ms:	 First Name: Last Name:

	 Title:

       Company:

       Address:

	  City:	   State:    Zip Code:

       Country:

    Telephone#:	  Fax Number:

	E-mail:

      Web Site:

This Conference is being presented by CORE as a Public Service. Seating is very limited.

This is a pre-registration form - You must complete your registration no later than January 4, 2007.

Final reservations will be taken in the order received.

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