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Expression of Interest Form
Where and When?
Location Date & Time Sector Focus
Cork Tuesday 7
th
December 2010
Time: 4.30pm-8.30pm
Therapeutics – New
Commercial Opportunities
Further details of the event may be found on www.ideagen.ie
Please provide your Contact Details:
Name
Business or Research
Institute
Address
Telephone Number
Mobile
Email
Website
Twitter Name
Where did you hear about Ideagen?
Newspapers/Local Press Facebook/Twitter
Enterprise Ireland Website Road Signs
Word of Mouth-Personal Other, please specify
Word of Mouth-via Email
Please return completed form by email to:
Jacqui Norton jacqui.norton@enterprise-ireland.com or fax 021 480 0271
Please indicate whether your background is in
Business Research Both
Please give brief details of your key areas of current interests: e.g. technology areas /markets/business priorities.
1.
2.
3.
4.
5.
What do you expect to learn, receive or achieve by participating in the Ideagen event?
Please give brief details of new/future areas you would like to pursue: e.g. technology areas/markets/business
priorities.
1.
2.
3.
4.
5.

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Ideagen expressionof interestcork

  • 1. Expression of Interest Form Where and When? Location Date & Time Sector Focus Cork Tuesday 7 th December 2010 Time: 4.30pm-8.30pm Therapeutics – New Commercial Opportunities Further details of the event may be found on www.ideagen.ie Please provide your Contact Details: Name Business or Research Institute Address Telephone Number Mobile Email Website Twitter Name
  • 2. Where did you hear about Ideagen? Newspapers/Local Press Facebook/Twitter Enterprise Ireland Website Road Signs Word of Mouth-Personal Other, please specify Word of Mouth-via Email Please return completed form by email to: Jacqui Norton jacqui.norton@enterprise-ireland.com or fax 021 480 0271 Please indicate whether your background is in Business Research Both Please give brief details of your key areas of current interests: e.g. technology areas /markets/business priorities. 1. 2. 3. 4. 5. What do you expect to learn, receive or achieve by participating in the Ideagen event? Please give brief details of new/future areas you would like to pursue: e.g. technology areas/markets/business priorities. 1. 2. 3. 4. 5.