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.
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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.
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