2005 FPTT Annual Meeting and
Awards Ceremony

“Identifying and Assessing the Opportunity”

May 31 – June 1, 2005

To be held at:

The Fairmont Royal York
100 Front Street West
Toronto, ON
M5J 1E3
Tel: 416.863.6333 or 800.441.1414

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Registration Form

Four ways to register:
1. Fax completed form to 613.726.3444
2. E-mail Christine Renaud (do not include credit card details)
3. Phone Christine Renaud at 613.828.6274 ext. 245
4. On-line (please fill out form below)

***If you are attending the Licensing Executive Society (LES) Technology Transfer Seminar on June 2-3, 2005, you are eligible for the FPTT Members' rate for the FPTT Annual Meeting and Awards Ceremony. For more information on the LES Seminar, please visit their website.

Name:
Title:
Organization:
Address:
Address2:
City:
Province:
Postal Code:
Phone Number:
Fax Number:
E-Mail Address:

Description	Before April 30, 2005	After April 30, 2005	Registration
Annual Meeting and Awards Ceremony	$495 (FPTT members)	$595 (FPTT members)
	$595 (Non-members)	$695 (Non- members)
I plan on attending the Awards Ceremony (included in registration fee)			Yes No
I plan on attending the Welcoming Reception (included in registration fee)			Yes No
I will need additional tickets to the Awards reception and dinner ($100/ticket)			# of tickets

Is this your first FPTT Annual Meeting?	Yes	No
Do you require simultaneous translation*? (The language of this event will be in english - questions can be asked in language of choice) * simultaneous translation will not be available for on-site registrations	Yes	No
Do you have any special dietary requirements? (If yes, the OCRI Conference Registrar will contact you)	Yes	No
Do you need special assistance to participate? (If yes, the OCRI Conference Registrar will contact you)	Yes	No
How did you hear about the Annual Meeting?	website brochure FPTT Member

CANCELLATION POLICY: Registration fees must be pre-paid. A $50 cancellation fee will apply to cancellations received before May 15, 2005. Refunds will not be issued after May 15 but substitutions will be accepted.

Method of Payment	(prices include 7% GST – OCRI GST #122847510)
Cheque (make cheque payable to OCRI/FPTT)
Credit Card (we will contact you by phone for your credit card information)
Invoice (please send me an invoice
Speaker