Szabadalmi Közlöny és Védjegyértesítő, 1999. október-december (104. évfolyam, 10-12. szám)

1999-10-01 / 10. szám

THE GENEVA ACT, A NEW TREATY

FOR THE INTERNATIONAL PROTECTION OF DESIGN

Intercontinental Hotel, Geneva - December 10,1999

REGISTRATION FORM

to be returned as soon as possible to the

International Registrations Department World Intellectual Property Organization (WIPO)

34, chemin des Colombettes, P.O. Box 18, CH-1211 Geneva 20 Telephone: (+41 22) 338 80 51 - Facsimile: (+41 22) 740 14 29

Mr./Mrs./Ms.: ................................................................................

Title/Function:...............................................................................

Organization/Company: ..............................................................

Address: .......................................................................................

Telephone: ..................................... Facsimile:...................................

will participate in the above-mentioned Seminar, which will be held at the Intercontinental Hotel in Geneva on December 10, 1999.

The registration fee of 250 Swiss francs will be settled

□ by payment to account No. 487080-81 at the Swiss Credit Bank, 1211 Geneva 70 (Switzerland)

□ by payment to postal check account No. 12-5000-8, Geneva

□ by deducting this sum from our current account

at WIPO No........................................................................................

□ by the enclosed check drawn on the following bank:

□ by credit card.

Please debit the registration fee of 250 Swiss francs from □ American Express □ Visa □ Eurocard No.:.............................................. Expiry Date:...................................

Authorized signature: ..........................................................................