"Making Equality A Reality"

 

 

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Pre-Registration Form

 

World Conference

on

Intellectual Property Rights

 

Thursday, January 19, 2006

at

The United Nations

 

Pre-Registration Form

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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CORE -- Congress of Racial Equality  *  P.O. Box 264  *  New York, N.Y.  *  10276  *  Tel: (212) 598-4000  *  Fax: (212) 982-0184

 

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