Name/Nombre:     _______________________________________________________

Title (Optional):  _________________________________________________________

Company/Firm/Agency or Organizational Affiliation/Companía/Firme/Agencia:
________________________________________________________________________

Address/Dirección:  ______________________________________________________
________________________________________________________________________
________________________________________________________________________

E-Mail/Correo Electrónico:  ________________________________________________
(Email AND/OR Facsimile required so we may send you information)

Facsimile:_______________________________________________________________

Break-Out Sessions You Would Like to Attend (Optional):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

The Use of this Form is Optional. If used, this form should be returned to Doris Long

• by facsimile transmission marked to the attention of Doris Long at (877) 626-7864,
• or by mail marked to the attention of Doris Long and addressed to the

Office of Legislative and International Affairs,
United States Patent and Trademark Office,
Box 4
Washington, D.C. 20231

You may also Email your registration information to Doris Long at soa2k@uspto.gov.

Symposium attendees will be accepted as their requests are received on a first-come, first-serve basis according to the time and date of receipt of each request. To be considered "received," a request to attend must contain all of the information requested in this form; and is subject to the following additional restrictions: (1) only written requests will be accepted; (2) only one request (one person) per company, firm, agency or organization will be accepted (for purposes of determining eligibility, affiliates and subsidiaries in different countries will be considered separate organizations); (3) only requests which contain all the information, in complete format will be accepted; and (4) only requests received on or before July 31, 2000, will be considered.